FOR THIS FORM TO BE APPROVED IT HAS TO BE ON YOUR COMPANY'S LETTERHEAD.

Copy the content of the form below the line to your company letterhead, complete the areas marked for completion, sign and fax this with all accompanying documents through to the branch where you are registering.

Regards,
The Pinnacle Africa Team

COPY EVERYTHING BELOW THIS LINE

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The Credit Manager,

Pinnacle Micro (Pty) Ltd

RE: WRITTEN CONSENT

I / we hereby specifically consent that the Supplier being Pinnacle Micro (Pty) Ltd and/or it’s Risk Information Agents being Debtsource and/or it’s Debtors Insurers being Lombards :

I/we specifically acknowledge that I/we shall under no circumstances hold the Supplier liable for any damages relating to any of the aspects as set out above.



We trust that you find this arrangement in order.

Yours faithfully,






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[Your Name Here]
[Your Degination Here]

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Signing Date