First time registration of new clients

New clients of URLfilterDB are required to register their full address details and contact persons.

Use the TAB key (⇥) to move to the next field.
Mandatory fields are marked with an asterisk (*).

Company name: *

Company URL: *

VAT or IEN number: *

Value Added Tax must be charged unless you order from outside the European Union. Dutch clients always pay VAT (BTW). Other clients within the EU pay VAT unless they present their VAT registration number. Type 'none' if you do not have a VAT number.

Address: *

Address (cont.):

Enter full address incluing Postal Code and City

Address (cont.):

Country: *

Number of licenses: *

Title Technical contact 1: *

First name: *

Last name: *

Email address: *

Telephone: *

Title Technical contact 2:

First name:

Last name:

Email address:

Title Administrative contact 1: *

First name: *

Last name : *

Email address: *

Telephone: *

Title Administrative contact 2:

First name:

Last name:

Email address:

Additional comments:

CAPTCHA

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