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Culture Documents
CUSTOMER DETAILS:
Full Name
(Name in full)
Address
City Postcode
Telephone Mobile
Email
DELIVERY DETAILS
MINIMUM PAYMENTS [ ] TOTAL AMOUNT $ EXPECTED DELIVERY DATE / /
RENT-FIX TERM
START DATE / / END DATE / / ] TOTAL PAYMENTS [ ]
DECLARATION
I ______________________________________________ agree to RENT-PURCHASE THE GOOD(s) above on the terms and conditions
in this RENT-FIX CONTRACT and in the general terms and conditions and
_______________________________________________ confirm to the best of my knowledge that all the above information is true
(PRINT FULL NAME CLEARLY) and correct.