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RFI - Attachment 8 - Energex Netwrok Connection Contract

of 11

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                                                                            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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