07 577 0605
P O Box 15 077, Tauranga 3144

Email : Delwyn(at)backtoblack.co.nz

Please use the form below or download the PDF Application for Credit (Personal)

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Home address
Work address
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(Must live at a different address)

Contact person's full address
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I guarantee and agree to pay all invoices rendered by Back to Black Limited by their due dates. If I fail to do so, I agree to pay penalty interest at 2% per month and all collection costs incurred by Back to Black Limited in recovering any overdue monies owing by me.

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