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| 1. You have booked: Listing type:
Logo:
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| 2. Company listing - Your company details will read as follows: |
| Company:* |
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| Contact:* |
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| Physical Address: |
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Postal Address:* |
Code:*
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| Tel:* |
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Fax: |
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| Cell:* |
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E-mail:* |
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| Website: |
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3.Additional line / branch listing: R160(+VAT) per line / R900(+VAT) per branch |

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4.Business category -
Your company will appear under the following categories: |
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| 5. Brand Listing - Your brands will appear in the Brand Suppier's list (R160 per brand) |
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6. Advert art material supply: Advert size:
7. Logo supply:
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| Notes:
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Please note that it is your responsibility to get all information and art material to Jewellers' Network by 1/11/2009. Thank you
Date:
Name:
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