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Direct Dealer Application 15May12 - TPG Internet

Direct Dealer Application Date of issue: 15/05/2012. Replaces: 12/03/2009 Page 1 of 2 What kind of products do you sell and/or what services do you off er?About your CompanyFHow do you promote your products? eg. newspapers, radio, word of long has this business been operating?How many sales people?DPaymentBankBranchAccountNameBSBA ccountNumberEReferral InformationHow did you hear about TPG? Please let us know who referred you or where you saw/heard the NameAddressSuburb/TownState Post CodePhoneFaxTrade RefereeC( )( )( )( )Contact DetailsBContact Name 1 PositionPhoneMobileFaxEmail( )( )Co

G Direct Dealer Application Date of issue: 15/05/2012. Replaces: 12/03/2009 Page 2 of 2 Terms of Agreement 1. General: 1.1 This Agreement will commence from the date TPG approves the signed Direct Dealer Application Form and continue for an initial

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