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* Denotes that the field is mandatory.
Debtor account question
Use this form to send an enquiry about a debtor account only. If your request is regarding a rates or water account use the Contact Debt Management - Rates or Water form instead.
Full name
What is your customer number?
What is your customer account name? *
Are you authorised to discuss this account?
What is your enquiry about? *
If other, please explain.
Would you like us to call you?
Please call me ...
Contact phone number
E-mail address *
Attachments
Upload any additional files that will help us with your enquiry.
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Description
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