reseller account application

Company Name

Type of company

Registered company's number

VAT Number

Registered address with company's house

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Directors/ Owners

Trading Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Email

Phone

Estimated connections

Type of reseller account

Affiliate=: Ineedbroadband carry's out the direct debit, first line support full direct relationship and ownership with end user. Full reseller: Reseller, must invoice the customer direct and provide first line support, has full relationship for the first 12 months. Reseller will be direct debited by ineedbroadband each month.

Payout method Affiliate only

Consent*

I agree

As a full reseller i agree that i/we are responsible for full payment of any services ordered and will pay any charges in full to Ineedbroadband ltd, failure to make any payments or direct debits for the services received as a reseller may result in a service being terminated and extra charges being added to my reseller account.

As an affiliate reseller i agree that i will receive payment from ineedbroadband for sales leads give to ineedbroadband, i agree to supply my customers with my unique reference number to be add to the customers order form online. I agree to raise a payment request from my online affiliate portal to request payments when due.

Signature