CONFIDENTIAL APPLICATION FORM

(1) NAME in which mail/messages will be received

(2) COMPANY NAME

(3) YOUR HOME OR CONTACT ADDRESS
(This is kept completely confidential, but is a legal requirement)

(4) ADDRESS to which mail/messages are to be forwarded:
(if different to that above)

(5) PHONE / FAX CONTACTS

Tel No.Home.
Fax No. Home.
Tel No. Bus.
Fax No. Bus.
Mobile No.
Email Address

(6) SERVICE LENGTH

Monthly
Quarterly (Discounts will apply)

(7) SERVICE REQUIRED (please tick)

MAILHOLD SERVICE
TELEPHONE ANSWERING SERVICE
FAX SERVICE
MAILHOLD TELEPHONE ANSWERING SERVICE
FULL SERVICE (phone fax & mailhold)
DEDICATED LINE with MAILHOLD SERVICE
DEDICATED LINE with FULL SERVICE

(8) "MAIL/POST/MESSAGE" HANDLING

I would like to COLLECT my mail/messages
I would like my mail/messages FORWARDED
(a deposit will be required to cover mail/despatch charges)

(9) ADDITIONAL SERVICES

REGISTERED OFFICE: YES NO
SECRETARIAL SERVICES: YES NO
EMAIL: YES NO

(10) SPECIAL INSTRUCTIONS

(11) TO COMMENCE FROM
(All charges are payable in advance)

(12) PLEASE STATE HOW YOU HEARD OF US

NB. All charges are payable in advance and the service may not proceed until an initial payment has been arranged. We can accept payment by either cheque, postal order or credit card.

To send this information automatically to us press the "submit" button below:

(To completely clear the contents of the form in order to start again, press "reset".)

By clicking submit you agree to abide by the terms and conditions of "Hold Everything".

BUSINESS ADDRESSES · MAIL HOLD · EMAIL · FAX · TELEPHONE