CUSTOMER DETAILSConnect Interactive Agreement • December 30th, 2015
Company Name (as it is Registered) TIN/Other Company Reg. No Registered Company Address Incorporated or Non-Incorporated Company Firm Trust Statutory Body NGO Other Phone Contacts Fax No Contact Person Email Address Name of Directors Particulars of Directors Please provide proof of Billing and Street Address Email Address Billing Address Street Address where service is required Please provide the following essential documents during signup. Business Registration Certificate of Incorporation Company Stamp or Seal
