Full Company Name

Trading Name (if different)

Company Registration Number (if applicable)

Company Address

Postcode

Telephone Number

Website

Type of Organisation Type of OrganisationLimited CompanyPartnershipCharity/TrustSole TraderGroup/PLCLLPPublic Sector/Govt.

Number of Employees Number of Employees1-1011-2526-5051-100100+

Which Type of Channel Partner would you like to become? Which Type of Channel Partner would you like to become? White Label – In this instance the end customer has no dealings with us at all, we send you your customers costs but you deal with all customer interactions, including sending out invoices, taking payment etc. White Label Bureau Billing - – Here we invoice the end user directly (in your branding). The customer still pays directly to you and you still deal with all customer interactions White Label Reseller - a fully managed service where we undertake all billing, support you with customer interaction, fault logging etc

Contact Person

Telephone Number (if different to above)

Position/Job title

Email

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