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Section One: Your Contact Details
Your Company/Business Name (Your Details):
Your A.C.N/A.B.N:
Your Contact Name:
Your Contact Email:
Your Contact Phone Number:
Your Contact Fax Number:
Your Postal Address of Business
Your DX (if any):
How were you referred to Attwood Marshall Lawyers?
Section Two: Lease/Rental/Finance Contract
Name of Lease/Rental/Finance Company:
Name of Lessee on contract:
Trading As:
Address of Lessee
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
Location of goods/contract:
Business Type:
Guarantors (name all):
Address of Guarantors:
Goods listed on Contract:
Goods listed on contract but did not receive:
Term of Rental:
Rental Instalment amount: $
Date of Contract
(clear date)
Salesperson
Section Three: Agreement with Telecommunications Company
Name of Telecommunications Company:
Existing Telecommunications Carrier:
Name of Agreement
Trading As:
Address of person listed:
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
Location of goods/contract:
Goods listed on contract:
Goods not listed on contract but received:
Goods listed on contract but not received:
Term of Rental:
Rental Instalment Amount: $
Date of Contract
(clear date)
Salesperson:
Section Four: General
How did you hear about the telecommunications company?
Was your salesperson the same as your contact at the telecommunications company?
If no, please explain
What were/are the telecommunication company`s telephone/contact details:
Has the telecommunication company ceased trading?
If yes, when?
How did you find out they ceased trading?
Have you returned any/all of the equipment?
If yes, please explain?
Have you stopped payments to the lease/rental/finance company?
If yes, when?
Has the lease/rental/finance company terminated your contract?
Has the lease/rental/finance company served you with a Statement of Claim?
If yes, what date were your served/received the document and have you sought legal advice in relation to it?
Has your business suffered from this matter?
If yes, please explain?
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