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Part 1: YOUR LOCATION |
| Office Location: * |
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| Lease Start Date: * |
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| Lease Expiry Date: * |
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Part 2: YOUR CONTACT DETAILS |
| IBT will credit check all proposed customers and in the unfortunate event of a proposed customer failing our check IBT will request an additional £50 per person fully refundable deposit against a fully settled final bill. |
| First name: * |
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| Last name: * |
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| Telephone: * |
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| Email: * |
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| Confirm Email: * |
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| Choose Password: * |
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| Confirm Password: * |
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Part 3: INVOICE ADDRESS |
| Organisation Name: * |
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| Organisation Type: * |
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| Company Registration No: |
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| Address Line 1:* |
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| Address Line 2: |
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| Town / City:* |
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| Region:* |
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| Postcode:* |
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| Country:* |
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Part 4: PERSONAL ADDRESS AND LIABILITY AGREEMENT |
| Home Address Line 1:* |
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| Home Address Line 2: |
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| Home Town / City:* |
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| Home Region:* |
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| Home Postcode:* |
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| Home Country:* |
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| Home Telephone:* |
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| Personal Mobile:* |
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| Proof of Address & Identity |
In order to verify your identity please scan the following documents and upload below.
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| 1. A scan of a utility bill relating to the personal address used above: |
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| 2. A scan of another utility bill relating to the personal address used above: |
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| 3. A scan of a passport or driving licence for the person applying for the service: |
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No access to a scanner?
I am unable to supply scans of 2 utility bills and a copy of my passport/driving
licence, but I will send via registered post the photocopies of these documents
within 7 days of the service starting to: IBT, 2 Viewpoint Office Village,
Babbage Road, Stevenage, Hertfordshire, SG1 2EQ
In the event of the documents not been received within 7 days, the service will
be suspended and a £50 reconnection fee will be applied.
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Liability Acceptance:
I confirm that I am the owner, partner or a director of the company applying
for the provision of IT and Telecoms services from IBT Managed Services Ltd. In
the event of non payment of any outstanding balances owed to IBT Managed
Services Limited I personally guarantee payment of all outstanding balances
incurred while using the services provided.
IBT Managed Services Ltd will use all legal powers to pursue any debts incurred
while using the services subscribed.
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Part 4: DIRECT DEBIT MANDATE
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Direct
Debits can now be setup on-line or over the telephone in addition to the
original postal method.
All normal Direct Debit safeguards and guarantees apply. No changes in the
amount, date or frequency to be debited can be made without notifying you at
least 10 working days in advance of your account being debited. In the event of
any error you are entitled to an immediate refund from your Bank or Building
Society. You have the right to cancel a Direct Debit Instruction at any time
simply by writing to your Bank or Building Society, with a copy to us.
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Account Holder Name:* |
(as it appears on the bank statement or cheque book, e.g. Mr
Joe Bloggs) |
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Bank or Building Society Name:* |
(e.g. Barclays Bank)
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Account Number:* |
(e.g. 01010101) |
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Sort Code:* |
(e.g. 22-33-44) |
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Authority?:* |
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Part 5: SUBMIT REGISTRATION
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Anti-Spam Maths Question:* |
4 + 7 =
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I confirm I have read and agree with the Privacy Policy.
I confirm I have
read and agree with the
Terms & Conditions.
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