Onboarding Step 1 of 4 – Company information 25% Company Name*This name will be displayed on invoices issued to your company, if a trading name is specified, the trading name will be used on invoices. (Maximum length – 41 characters)Do you trade under another name? Yes No Trading name*Trading as (Maximum length – 41 characters)Phone*FaxWebsite Company Size*1 – 5 computers5 – 10 computers10 – 20 computers20 – 30 computers30 – 50 computers50 – 75 computersmore than 100 computersMarket*AgricultureArchitect / EngineerAutomotiveCommunicationsConstruction / DevelopmentEducationEntertainmentFinancialGovernmentHealthcareHome UserHospitalityHuman ResourcesInformation TechnologyInsuranceInternetInvestment ServicesLegalManufacturingMedia/AdvertisingNon-profitProfessional ServicesReal EstateRestaurant / BarRetailServicesSOHO ClientTourismTransportationWholesale / DistributionPhysical AddressAddress*Street addressAddress line 2Address line 2City*Province*Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeOtherPostal code*Other*Province / StateCountry*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePostal address is the same as physical address* Yes No Postal Address*Please note that for security reasons your IP address will be logged.CaptchaThis is to prevent automated filling of this form by non-humans. Authorised contactsAn authorised contact is any person authorised to request support from us or to place orders with us.Primary Contact – Name* First Last Mobile Phone*We require a mobile number if we need to reach the primary contact outside of business hours for an emergency.Primary contact e-mail address* Enter Email Confirm Email Customer portalThe primary contact can access all support tickets and invoices via our customer portal.Customer portal password.Please choose a secure password which you would like to use to access our customer portal. Note that we can see this password, please choose a unique password that you do not use elsewhere.Can all staff members request support? Yes No Please note that support requests may incur costs. We recommend that only the primary contact be authorised to log tickets with us.Additional contactsFirst NameLast NameE-mail addressMobile phone (Optional) Please list up to 3 additional authorised contacts. For large sites (20 or more computers) we require that you list at least one additional contact. Do you require purchase orders to be sent with support requests? Yes No If you specify yes, then we will not start working on a support ticket until a purchase order for the ticket has been received by us. If you choose yes, then we recommend that you include the purchase order with your support request to prevent delays.Billing contact* First Last This is the person to whom we will send invoices and statements and whom we will contact if there are any problems with the account.Billing contact e-mail address* Enter Email Confirm Email Invoices will be sent to this e-mail address.Additional invoice to e-mail addresses (Optional) List up to 2 e-mail addresses where you want invoices to be sent in addition to the billing contact.Is your company VAT registered?* Yes No We are in the processing of registering for VAT Note that we are VAT registered and as such will charge VAT on all invoices sent to customers. VAT for customers outside South Africa will be ZERO rated.VAT Registration Number*Debit order authorityFor all monthly recurring services we require that you sign a debit order authority form. Terms and conditions apply.Would you like to sign a debit order?* Yes No Please note the certain services (such as hosting and/or managed services) require that you sign a debit order.We will send you the debit order form via e-mail.Questions / CommentsIf you have any questions or comments, please list it here. Additional SitesPlease list any additional sites where service will be required.Additional sitesSite namePhysical AddressTelephone nr Δ