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Dealership Application Form - PDF

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 Connecting Africa                                            •sales@gc‐sat.com • www.gc‐sat.com• Halifax the us and it shows and let usefulness can ears were more  Fluxcon well I suppose arising using solar    #G1, Pinewood Office Park, 33 Riley Road, Woodmead, Sandton, RSA • Tel +2711 612 3660, Fax +2711 234 7383

Dealership Application Form
  Name:         _______    _______Date: ___________________________ 

Position Held: ___________________________________________________________________________     Company Name__________________________________________________________________________  Type   CC  Pty Ltd  _____________________  Partnership     VAT Number       Sole Proprietor  _______________ 

Registration Number    Physical Address: 

_____________________________________________________________________ 

_________________________________________________________________Postal Code: ___________  Postal Address:  _____________________________________________________________________ 

_________________________________________________________________Postal Code: ___________  Tel No:  (_____) ____________________________ Fax No:   (_____) ______________________________  Cell No:  (_____) ___________________________     

E‐mail address: _________________________________ Website address __________________________  Please tell us more about the markets in which you do trade by ticking the checkbox:  Mining  Adventure  Forestry  Maritime  Filming  Military  Aviation  Oil & Gas  Transport  Safari  Government  Emergency  Construction  Tracking  ?  Leisure  Humanitarian  Press/Media  Hunting  ?? 

Commentss_____________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________    ______________________________________________________________________________________  Name                                           Signature                
    Global Com Satellite • Reg # 2004/024905/07 • Directors D. Lipton, A. Hooper, M. Griffin • PO Box 411991, Craighall, 2024, RSA 

 

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Description: Dealership Application Form