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RFI - Attachment 8 - Energex Netwrok Connection Contract
3044 09.10.2018
Page 4 of 11
Acceptance by the Customer or Connection Applicant on behalf of the Customer
The Customer hereby accepts the Terms and Conditions outlined in this letter of offer
for the Energex Connection Services. Where signed by an agent on behalf of the
Customer, the agent warrants that the Customer is aware of the terms of the offer and
authorises the agent to accept this offer on its behalf.
For individuals
Signature Witness Signature
Print Name Print Name
Date Date
For companies
Company name:
Director Signature Director / Secretary
OR OR
Authorised Representative Witness Signature
Print Name Print Name
Date Date
WR Reference: !Undefined Bookmark, WORKREQUE
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