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                                                                                         Candelen, Ltd
                                                                                                  4 Manor Rd
                                                                                                    Littleover
                                                                                             Derby DE22 3HZ
                                                                                        Susie@candelen.co.uk

                                        Account Opening Form

Company Name                                                         Primary Contact


Address                                                              Mobile

                                                                     Emergency No.


What does your company do?                                           Email


                                                                     Website
                                                                     Fax number

Who may get phone calls?                                         Preferred method of messaging
Name                                                               Patching (one extra message)
Mobile                                                             Text (.25p per text)
Email                                                              Email (free)

Name                                                                 Patching (one extra message)
Mobile                                                               Text (.25p per text)
Email                                                                Email (free)

Name                                                                 Patching (one extra message)
Mobile                                                               Text (.25p per text)
Email                                                                Email (free)


Other Services (Call for costs)
Interactive Diary (one time fee £10)          Website                         Mail outs
Employment screening/shortlisting                                             Other-call to discuss

Terms and Conditions
Bills are emailed monthly and due 7 days after email. Credit limit is £200. thereafter the line will be turned off after 2
reminders. All queries must be addressed to Susie Seui. Any new client you refer, and takes the service, you will be
awarded 1 free month of service.



Sign and Print________________________                           _________________________________


                                                01332 546 900

				
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