RISK FREE TRIAL
APPLICATION FORM
SIGN UP FOR 1 WEEK’S WORTH OF HOT SALES
LEADS ABSOLUTELY FREE! NO MONEY
NEEDED!
Please complete the entire form:
TO PRINT THIS FORM
Contact
Name:.......................................................................................
Company Name:....................................................................................
Specialist Area: (e.g. Plumbing/building/electrical etc)..............................
Address:...............................................................................................
....................................................................... Postcode:...................
Tel:...........................
Fax:........................... E-mail:..........................
Preferred Format (ONE ONLY):
□ Self adhesive labels
□ CD Rom □ E-mail
Yes, I would like to
receive 1 week’s free sales leads. I understand there
is absolutely no obligation to continue with this service and I will let you
know if I don’t wish to continue after my free trial. If I do carry on I will
receive weekly updates and will pay for this on a regular standing order basis.
I am free to cancel at any time and receive pro-rata refunds on any remaining
portion of my subscription.
Signed:...........................................................
Date:..........................
Send no money now. Simply complete and return the form to us, not to your bank:
Standing Order
Instructions to your Bank or to pay by standing order
To: The Manager………………………………………………........
Bank Name…………………………………………………….........
Bank Address………………………………………………….........
Postcode……………………….......
Name(s) of account holder(s)………………………………….......
Please pay to S. W Pearce Account no. 22801949 Sort code. 40 25 10
Held at HSBC 2 Cloth Hall Street
Huddersfield HD1 2BS. A monthly
Standing order of £67
commencing on receipt of this instruction and then every 30th
month thereafter until further notice.
Signature(s):............................................................................
Date:..........................................
Bank/Building Society Account No:....................................
Branch Sort Code:............................