AZURE HANDYMAN NETWORK APPLICATION
FORM |
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It is important that you fill out all fields requested in order to process your request. Incomplete or illegible forms will be returned to you for completion or clarification. Once completed, sign the form and send to the address listed at the bottom of the form. We regret that we are unable to ask you to submit the form online, as we require a signature to establish your standing order. Keep the wording for your website short and to the point. People have lower attention spans when reading on screen text and will not read lengthy paragraphs. If possible, please type the details for your website content and email it to us at: websites@handyman-network.co.uk. If you are able to email your content to us, please tick this box; complete only your contact details and the standing order mandate at the bottom of the form, remembering to sign it. Please also advise us of the email address you will be sending the information from, so we know to look out for it. You don’t need to complete section 2 of the form if sending over a typed version.
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| PERSONAL DETAILS | ||
| First Name: | ||
| Surname: | ||
| Address: | ||
| Post Code: | ||
| Daytime Phone: | ||
| Email Address (if you have one): | ||
| DETAILS FOR YOUR WEBSITE | ||
Continue on separate page or overleaf if you don’t have room on any sections |
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| Preferred web address (1st choice): | www. .co.uk | |
| Initials for your web address (2nd choice): | www. .co.uk | |
| Text for your home page: | ||
| Text for your services page: | ||
| Details for contact page if different from personal details: | ||
| Any testimonials you may already have (these can be added later if you prefer): | ||
| INSTRUCTIONS TO YOUR BANK TO PAY BY STANDING ORDER | ||
| To: (Bank) | ||
| Branch Sort Code: | - - | |
| Account to be debited | ||
| Account Number: | ||
| Branch Address: | ||
| Name of Account Holder: | ||
| Signature: | ||
| Date of Signature: | ||
| Payment details | ||
| Amount of first payment: | Enter £15 here unless you are requesting additional web pages. | |
| Date of first payment: | ||
| Amount of usual payment: | ||
| When paid: | ||
| Date of usual payment: | ||
| The first payment is payable upon receipt of this instruction and the same amount on the first day each month thereafter for a minimum of 18 months until this instruction is cancelled in writing by me. | ||
| Beneficiary details | ||
| Bank: LLOYDS TSB (30-98-41), Old Town, Swindon | ||
| Account: AZURE MARKETING (account number: 04710283) | ||
Send your completed application form to: Azure Marketing (Azure Handyman Network), 9 Gayford Square, Wattisham Airfield, Ipswich, Suffolk IP7 7RR Submission of this form indicates your acceptance of the terms and conditions of this site. |
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