The Offtakers

The Offtakers

Name

Email Address

Phone No.

NATIONAL IDENTITY NUMBER(NIN)

Home Address

Business Address

How do you intend to sell the inclusion right?

How did you hear about us ?Facebook advertInstagram advertTwitter advertFriends/Business partners

Have you had any case with money ?YesNo

Bank Details

Bank

Account Name

Account Number

Next of Kin Details

Next of kin full Name

Next of kin house Address

Next of kin phone No.

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