TELECOM SERVCIES ENQUIRY FORM

* must be completed

Email address:*

Title: Mr
Mrs
Miss
Ms
Dr

First name:*

Surname:*

Daytime Telephone:*

Organisation/Company Name:

Position in Organisation:

Address:

Town/City:

Postcode/Zip:

Industry Type:

Web Address (if applicable):

Phone Extensins: Select one 2-5 6-10 11-50 50+

Exchange Lines: Select one 1-5 6-10 10+

Timescales: Select one Just browsing Urgent 3-6 months 6 months +

Any further comments or referrals to other businesses that may be interested in improving their telephone service and saving money:

Current Telecoms Provider:

Approximate monthly call spend:

How did you hear about Copycare?: Please Select Existing Customer Google Search Google Ad Word Yell.com Yellow Pages Leaflet Referral On Van Advertsing Kingston Chamber Advert Direct Mail Email Other

Agency I.D.(if applicable) Select if applic. AR0001 BR0001 CH0001 MA0001 OZ0001 HQ0001

Sub Agent ID:

Yes, inform me of any new developments which you feel may benefit me, and could save time and money Uncheck exclude.