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PLEASE COMPLETE THE FORM TO ENTER THE R1000 FUEL COMPETITION

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Referral Type:

I want to refer 3 personal referrals

I want to refer 2 business referrals

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Personal Referral 1

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Personal Referral 2

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Personal Referral 3

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Business Referral 1

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Business Referral 2

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I have read and accept the terms and conditions of this competition

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1 + 1 =

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PLEASE COMPLETE THE FORM TO ENTER THE R1000 FUEL COMPETITION

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