Installer Accreditation Application v4

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ACCREDITATION APPLICATION

DATE OF APPLICATION:

FIELD COMMENTS SELECTIONS

General Information (owner)


Title: Mr.
Mr. and Mrs.
Mr. Ms.
Trading Name: Tyronne@ComfortSolutions
type of company Private company Private Company
Public Company
Close Corporation
Sole Trader
Partnership
Other
Company Registration /
ID number 0405096332086
Company VAT Registration number NA
Country South Africa
Region Eastern Cape
Free State
Gauteng Gauteng
Kwa Zulu Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
FIELD COMMENTS

Postal Address: 6 Waikiki, Webber Street


PO Box/Private Bag Number: 6 Waikiki, Webber Street
City/Town: Johannesburg
Postal Code: 1724
Physical Address: 556 nut avenue, Horizon view, Roodepoort, Gauteng
Street Name or Building: Waikiki complex
House Number: 6
City/Town: Johannesburg, Roodepoort
Postal Code: 1724
Contact Details:
Contact Name: Tyronne Jarred Nel
Office Telephone:
Mobile Telephone: 0632095326
Fax Number: Na
Email Address: tyronnenel4@gmail.com
Areas that you want cover without travel charges to customers
City/Town/Suburb: Krugersdorp
Postal Code:
City/Town/Suburb: Roodepoort
Postal Code:
City/Town/Suburb: Florida
Postal Code:
City/Town/Suburb: Ruimsig
Postal Code:
City/Town/Suburb: Johannesburg
Postal Code:
City/Town/Suburb: Randburg
Postal Code:
Kindly send the completed form to installeradmin@multichoice.co.za
By signing this application, i acknowledge that i comply with the requirements as per the website to become an Accredited Installer

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