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Apply for a Business Account with Equanet

To help us provide the best possible services for your business needs please fill out ’Your Details‘, ’Business Address‘, ’Contact Details‘ and ’Company Profile‘ as accurately as you can.

1. Your Details

Fields marked with an asterisk denote mandatory information *

Title/Salutation *

First Name *

Last Name *

Date of Birth *

DD/MM/YYYY

Job Title

Company Name *

Public Sector?

Home Address 1 *

Home Address 2

Home Address 3

Home Address 4

Home Address 5

Home Address 6

Postcode *

2. Business Address

Address 1 *

Address 2

Address 3

Address 4

Address 5

Address 6

Postcode *

3. Contact Details

Country *

Company phone no. *

Direct phone no.

Fax no.

E-mail *

Web Address

http://

VAT no. *

If your business is not VAT registered, enter ‘NOT VAT REG’

Company reg. no. *

If your business is not Company registered, enter ‘NOT CO REG’

4. Company Profile

Number PC's *

Approx. within your business.

Number of Apple Mac's *

Approx. within your business.

Number of Servers *

Approx. within your business.

Annual IT Expenditure *

Approximate, on Products and Services.

Number of Employees *

Annual Turnover *

Approximate value.

Legal Business Status *

Years of Trading *

Financial Year End Month? *

Number of Sites

ie, branches, offices, depots — not websites.

Company Business Sector *

Your IT Responsibility

Position/Role