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Step 1Account & Company Details    Step 2Review Your Details    Step 3Payment & Agreement    Step 3Registration Complete

Contact Details
Items marked * are mandatory

Title:* What contact details should I submit?
Please submit the personal details of the person who will be in charge of:

 • submitting company details
• submitting team member details
• paying monthly subscription fees
First Name:*
Last Name:*
Telephone:*
Fax:

Company Details
Items marked * are mandatory fields

Company or Trading Name:* What company info should I submit?
Please add the details of the business or department that you represent such as:

 • company or trading name
• company number (if applicable)
• full head office address
Company Reg No (if applicable):
Country:*
Address (Line 1):*
Address (Line 2):
Region:*
State/County/Province:*
City/Town:*
ZIP/Post Code:*

Account Details
Items marked * are mandatory fields

Email Address:*
e.g yourname@yourcompany.com		 What access details should I submit?
Please submit the account details of the person who will be in charge of:

• maintaining your company profile
• adding business listings & associates
• replying to business leads
Re-type Email Address:*
Create a Username:*
Create a Password:*
Re-type Password:*
How did you hear about us?*

Business Profile
You can edit anything you submit within your Simply.Biz control panel later on so keep this brief if you wish.
Items marked * are mandatory

Company Website:
Leave blank if you do not have one
e.g http://www.yourwebsite.com		 What business info should I submit?
Please give as much information about your business as possible to enhance your online profile. Details such as:

 • your full website address (URL)
• an intro summary
• the geographical areas you cover
• your specialist areas
• your company profile

If you do not have time to complete your profile in detail, don't worry. You can update this information later using your members control panel.
Company Summary:*
Write a short intro about your company. This will show in the website search results.
Geographical Coverage:*
Detail the cities or regions you cover
Specialist Areas:*
Add your specialisms and key areas of expertise
Company Profile:*
Give greater details into your company for your full profile. You can always change or update this later using your control panel, once registered.
Enter the characters shown in the field below:*
Entering the characters shown ensures you are a real human completing this form. This helps prevent SPAM being sent to our system by automated software.



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