| *Required
Field |
|
Company Name:*
|
|
Address.:*
|
City Or Town:*
|
State:*
|
If
not in Nigeria, International Address:
|
| Country:*
|
Fax
Number:
|
Phone
Number (1):*
|
Phone Number (2):
|
Email:*
|
Confirm Email:*
|
Industry*
|
No. of Employees:*
|
Year Established:
|
No. Branches:*
|
HQ Location:*
|
| |
| Account
Login Information |
|
| Contact (1) Name:*
|
Contact (2) Name:
|
| Contact (1) Phone:*
|
Contact (2) Phone:
|
| Contact (1) Email:*
|
Contact (2) Email:
|
| Contact (1) Username
(Acct. Login):* |
Contact (2) Username:
|
| Contact (1) Initial
Paswword:* |
Contact (2) Initial Password:
|
| |
Primary SMS Target:*
|
Primary SMS Use:*
|
| |
Preferred Payment
Method:*
|
Account Recharge Cycle:*
|
Signup Amount:*
(Bonus Credits for N50,000+)
|
Approx Monthly SMS Volume:*
(Corp. Discounts apply)
|
BULK Send Frequency*
|
|
| Sending to International
Destinations:
|
List Countires (Seperate by comma):
|
| |
Need
Help Compiling Contact Info.:*
|
Contact File
Format:*
|
Other
Contact File Format:
|
Appprox. No of
Contacts:*
|
| |
Interested
in becoming a Reseller:
|
How Did you Hear
About Us:*
|
| |
|
|
Please
enter any comments here:
IMPORTANT: Before signing up for the
service you must agree to all the terms and conditions of
this agreement and consent to be bound by and become a party
to this service agreement. If the user cannot comply with
or does not agree to all the terms and conditions of this
service agreement, he/she/it should terminate the registration
process and as such surrender any and all authority to use
the service. Terms and Conditions
|
