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Cash On Delivery Application Form - New Customers - Diletto Trading cc
Name of Company / Close Corporation / Person
Trading As Name
Vat Number
Company Registration Number
Holding Company Name (optional)
Postal Address
Delivery Address
Postal Code:
Telephone Number:
Postal Code:
E-mail address:
Type of Business:
Public Company
Private Company
Branch
Applicant Signatory: I certify that the above information is true and correct to the best of my knowledge. I confirm that I
understand that no goods will be delivered without positive proof of payment or cash handed to the driver on delivery.
_______________________
Date
Diletto Use only
____________________________________
Name and Title / Authorisation
Authorised by:
CASH ACCOUNT
__________________________
Signature & Company Stamp.
Diletto Signature:
Cash On Delivery Application Form - New Customers - Diletto Trading cc
Name of Company / Close Corporation / Person
Trading As Name
Vat Number
Company Registration Number
Holding Company Name (optional)
Postal Address
Delivery Address
Postal Code:
Telephone Number:
Postal Code:
E-mail address:
Type of Business:
Public Company
Private Company
Branch
Applicant Signatory: I certify that the above information is true and correct to the best of my knowledge. I confirm that I
understand that no goods will be delivered without positive proof of payment or cash handed to the driver on delivery.
_______________________
Date
Diletto Use only
Authorised by:
____________________________________
Name and Title / Authorisation
CASH ACCOUNT
__________________________
Signature & Company Stamp.
Diletto Signature: