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    Client Information Form










    Billing Address if different from Physical Address






    Personal details: Please complete if you are registering as an individual


    Business Details: Please complete if you are registering as a Sole Trader, Trust, Partnership, Company or Other



    Directors/Owners/Trustees: (fill in as many as needed)

























    Declaration

    I certify that the above information is true and correct and that I accept the supply of credit by Veges Direct Limited. I have read and understand the TERMS AND CONDITIONS OF TRADE (read them here) of Veges Direct Limited which form part of, and are intended to be read in conjunction with this Client Information Form and agree to be bound by these conditions. I authorize the use of my personal information as detailed in the Privacy Act clause therein.



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