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AGENTS APPLICATION
Please print,
complete and post to the below address. Your Portal will be live, functional
and ready to accept applications within 5 days of receipt. A
confirmation letter will also be sent to you.
Paying by debit/credit
card will ensure you site is live within 24 hours of receiving payment.
Please click here to pay by card.
| Bronze Package
(40%) |
£99 |
|
| Bronze Package (40%) + Domain |
£119 |
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| Silver Package (60%) |
£149 |
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| Silver Package (60%) + Domain |
£169 |
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| Gold Package (80%) |
£249 |
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| Gold Package (80%) + Domain |
£269 |
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Please also choose
your desired names.
Domain Name
to be registered (if applicable). If your desired name is not available,
you will be contacted with suggested alternatives.
| 1st Choice |
www. |
| 2nd Choice |
www. |
| 3rd Choice |
www. |
| Full Name |
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| Address |
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| Contact No |
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| Email |
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Please
make cheque or Postal Order payable to
‘E-urohost’
Please
post to E-lender, (Agents Dept), Head Office,
35 Blades Street, Lancaster, LA1 1TT.
E-lender is part of the E-urohost Group.
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