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Part Supplier's Name:    
Contact Name:    
Telephone Number:    
Fax Number:    
Cell Number:    
Email Address: Email Address 2 :
Address: Street Name:
   
Suburb:
   
Province:
Latitude
(Please enter as per google format: -26.394479)
Code:
Longitude
(Please enter as per google format: 30.37676257)
Comments:    
Password:    
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VAT Number:    
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Bethlehem
Bloemfontein
Cape Town
Durban
East London
Eastern Cape
George
Johannesburg
Kimberley
Klerksdorp
Lichtenburg
Mpumalanga
Natal - North Coast
Natal - South Coast
Nelspruit
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Pietermaritzburg
Polokwane
Port Elizabeth
Potchefstroom
Pretoria
Richards Bay
Rustenburg
Sasolburg
Test Area 8
Upington
Vereeniging
Welkom
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