e4 STAFF MEMBER FULL NAME: DATE CLIENT ENROLLED: e4 INTERNAL:E4 Solutions Agreement • June 11th, 2019
Contract Type FiledJune 11th, 2019CLIENT DETAILS: (please print in block letters) Entity type:(mark with ‘X’) Company/Inc Partnership Other Entity business:(mark with ‘X’) Law firm Estate agent Other Entity full name: Registration number: VAT number: Physical address: Postal address: Entity Representatives: Business Representative (insert details of the person responsible for receiving the solutions in terms hereof) Finance Representative (insert details of the person responsible to assist e4 with payment of e4’s invoicesin terms hereof) Mr/Mrs/Ms Mr/Mrs/Ms Representative ID no: Representative position: Representative tel: Representative cell: Representative fax: Representative email: