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1. Company Overview

Total number of people employed
Primary Contact Details
Secondary Contact Details
Main Business Channel
(tick as many as relevant)

What services do you offer?*
Tick all that apply

Tick all that apply

(tick as many as relevant)

Customer Profile Sectors
(tick as many as relevant)

2. fixITlocal Programmes

You may register for any of the programmes listed below. To be included in the Call Locator and receive
telephone calls you must sign up to one or both of the fixITlocal programmes. A minimum of one programme
must be selected.

Please tick the programmes that you wish to receive enquiries from.

3. Service Module

Fixitlocal resellers can register to receive service and installations calls, These are allocated by the Vendors or
Automatically by nearest search. To accept calls you must provide an email address where the calls will be
sent and a mobile number to receive an SMS call alert. To accept a call you must respond within 4 hours.

Please confirm to accept fixITlocal Terms and Conditions

If you have any queries regarding this form please email the fixITlocal administration team - here