Service Agreement

6 month evaluation / 12 month service agreement

P.O Box 553

Florida Hills, 1716

FAX 086 50 29 026

Ref Nr

Date:___________________________ Stand Number

Customer Name &

Surname
Street Name & Number

Suburb, City Postal Code

Telephone
(Home) (Work) (Cell)

E-mail Address
(Work)

(Home)

Area / Suburb # Drums Cost pm Deposit Total

NOTES / ADDITIONS / CREDITS:

1. Additional black bags will be charged at R10 / bag

Grand Total
Payment Method
Cash [………..] Internet [………..] Thereafter /month

If possible, we prefer Internet Payments Service day Monday Tuesday Wednesday Thursday Friday

Garden Drum’s Contact Person & Tel. Garden Drum’s

ABSA Savings Account Number:
Banking Details:
916 674 0907
Branch Code 632005
Please use your REFERENCE NR for identification

I, (print name), ID Nr hereby

agree to ALL conditions stipulated in this service agreement.

Signed on / / at .

Customer Signature Service Provider .

CC Registration Number – 2006 / 094107 / 23