Details of your business

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* 1. Your name:

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* 2. Your position / job title:

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* 3. Are you the Ratepayer?

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* 4. Business name:

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* 5. Business Address:

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* 6. Business Telephone Number:

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* 7. Business Fax Number:

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* 8. Business e-mail:

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* 9. Your Telephone Number: (If different from above)

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* 10. Your Fax Number: (If different from above)

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* 11. Your e-mail: (If different from above)

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* 12. What is the turnover of your business?

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* 13. How many people do you employ?

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* 14. What is the nature of your business?

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