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Date......./....../200.......
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Title........
Surname........................................................Forenames....................................................
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Address..........................................................................................................................................
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......................................................................................................Postcode...................................
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e-mail....................................................
@....................................................................................
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Home Tel.
(inc STD
code)...........................................................
Signed..........................................
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Method
of payment: Switch.....Mastercard.....Visa.....Cheque....Postal-Order.....
( please make cheques payable to KLEENEZE
PLC (allow 5 days to clear before
receiving Kit)
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Card
No:
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Expiry
Date....../.........Issue No............
Security Code (3 digit).............
Amount
of Payment:£..................................
Signature..............................................Date....................
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Cardholders
name/address ( if different from above )
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Print the
form and Post To:
Michael Hoeben
Kleeneze Independent Distributor 885360
80 Conniburrow Boulevard
Milton Keynes
MK14 7DA
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| PLEASE
NOTE On receipt of your
Business Kit (delivered by Amtrak usually
1-3 days) please fill in the UK
Distributorship Agreement that's included in
the Business Pack. Post as soon as possible
to Michael Hoeben at the above address. I
will complete my details and fax to the
company, and return your copy afterwards. PLEASE
MAKE A COPY.
The
company will have you set up the same day
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Phone
01908-664153 E-mail info@simplebiz4u.co.uk; if you require any Help
(copy address to your email) |
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Business
Kit Order Request - THE BIG BUCKS GROUP