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First time registration of new clients
New clients of URLfilterDB are required to register their full address details and contact persons.
Use the TAB key (⇥) to move to the next field.
Mandatory fields are marked with an asterisk (
*
).
Company name:
*
Company URL:
*
VAT or IEN number:
*
Value Added Tax must be charged unless you order from outside the European Union. Dutch clients always pay VAT (BTW). Other clients within the EU pay VAT unless they present their VAT registration number. Type 'none' if you do not have a VAT number.
Address:
*
Address (cont.):
Enter full address incluing Postal Code and City
Address (cont.):
Country:
*
Number of licenses:
*
Title Technical contact 1:
*
Mr
Mrs
Ms
First name:
*
Last name:
*
Email address:
*
Telephone:
*
Title Technical contact 2:
Mr
Mrs
Ms
First name:
Last name:
Email address:
Title Administrative contact 1:
*
Mr
Mrs
Ms
First name:
*
Last name :
*
Email address:
*
Telephone:
*
Title Administrative contact 2:
Mr
Mrs
Ms
First name:
Last name:
Email address:
Additional comments:
CAPTCHA
This question is for testing whether you are
a human visitor
and to prevent automated spam submissions.
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Enter the code above:
*
Enter the code without spaces and pay attention to upper/lower case.