022 772 0222
CUSTOMER DETAIL (to be invoiced)
Vat Reg No
Is the property owned by a person
or other legal entity?
If it is a legael entity, please
state if this is a trust,closed corporation etc.
If the ownership is a legal entity,
please provide a resolution for authority to
sign on behalf of the legal entity (power of attorney).
Name of Company/Trust/CC
Property Owner Postal Address & Code
Property Owner Physical Address
Property Owner Phone
Property Owner Cell
Property Owner Email
Stand No and Suburb(Town)
Street Address & Postal Code
Nature of Project (Select one of options)
Alterations and additions
Minor Building Works
Is the Original building older than 60 years?
Are any telephone poles affected
Any trees affected
Is any underground municipality electrical connections affected or any electrical overhead wire within a radius of 3 meter from proposed building