118 Victoria Road Southfield Cape Town 7800 (021)7018261 Tel: (021) 7055034 Fax: 0866088991 EMAIL

: info@hireourtools.co.za Hire Our Tools (PTY)LTD Reg No:99/16279/07 Vat 4090185309

22 Military Rd Steenberg Cape Town

Payment Agreement
I, Name Surname ID

Hereby acknowledge my indebtedness to Hire Our Tools (Pty)Ltd. in the amount of R

I also hereby agree to repay the amount in minimum payment amounts of R Starting on the Day Recurring payments to be made: Daily Weekly Months every on the (weekday) (day of the month) Month Year

Payment method Cash Cheque Bank Transfer Debit Order Instruction Other FNB PLUMSTEAD 201109 ACC NO :62004200630 Paperwork to be completed in Southfield

Signed Print Name Date Please complete and fax to 0866088991 or email info@hireourtools.co.za or post to: 118 Victoria Rd Southfield, 7800

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