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Virtual Server Account Application

To open your Virtual Server Account with us simply complete the following.  You will then receive instructions via email on how to order web space for domains you will be hosting with us.

Note: If paying by cheque we will not be able to activate your account until full payment is received.

 

Who should we Invoice?

How did you find us?
Your Order/Ref No:
Ordered by (Your Name):
Legal Entity: 
VAT Registration No: 
Company Registration No: 
Company or Individuals Name: 
Address: 
Address cont: 
Town: 
County: 
Post Code: 
CountryCode:  2 digit Country Code
Primary Contact Details 
The person who will be responsible for your web space
Name: 
Telephone No: 
Email Address: 
Fax No: 
 Account Password  4-8 characters

Accounts Contact - Leave blank if the same as Primary Contact

Contact Name: 
Email: 
Telephone No: 

Payment

Pay by 
Cheque Payment: Orders are not processed until payment is received
Frequency 
Prices excluded VAT
   

 



Tollon Limited - PO Box 400 - Chichester - West Sussex - PO20 7YE 
Tel: 0870 747 6550 Fax: 0870 743 4613

Registered Office: Suite 4 - Scotts Sufferance Wharf - 1 Mill Street - London - SE1 2DE
Registered in England - Company Registration No: 03565311- VAT No: GB 678 7682 59

Tollon Limited is Registered under the Data Protection Act 1998

Tollon Limited 2001

E&OE