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I/We the undersigned hereby declare that to the best of our knowledge all the above information is true and correct. I/We understand that any incorrect information may result in disconnection of supply and additional charges. Connection charges are none-refundable. I/We agree to pay all charges related to the connection and supply of water as set out by the company's charging scheme and abide by regulations of PROVOWATER COMPANY LIMITED. I/We acknowledge that connection or reconnection will not be made until all fees and deposits have been paid.
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