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Agreement to Terms and Conditions for Website Design

Please write your name
Your Title
Your First Name
Your Surname
Email address
Address Line 1
Address Line 2
Town
Postcode

I agree with the Terms and Conditions of the contract between myself as above and Graphicz Limited (View the Terms and Conditions here).

(Your attention is drawn in particular to sections 2.1, 4.5 and 4.6.)
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