GenLead Services Contract

Services Required - Please Select

Digital MarketingiNewsWebsite / Hosting / iNewsAgri Online

Other Services - Self Fillable
Other:
R (vat excl)
Other:
R (vat excl)
Other:
R (vat excl)

DIGITAL MARKETING
Social Package - Selected: *
R - p/m (vat excl)*
Term*
(Min Term of 12 Months Allowed)
Social Add-On:
R - p/m (vat excl)
Foundation Setup (Vat Excl)
Company Details

These Details will be used on your facebook Page and Easy Contact Form

To view an example - click HERE
Cell Nr
Email
Office Nr
Address
Office Hours
AUDIENCE & SHARING
Audience Areas
Existing FB Groups that you would like for us to Share in:

INEWS
iNews: Term*
R - p/m (Vat Excl)*
Areas / Towns / Notes*
Normal Rate:*

WEBSITE / HOSTING / EMAILS
Email Hosting:*
R - p/m (Vat Excl)*
Term*
Website Design - Once Off (vat Excl)
Domain Details Etc
Domain Option 1*
Domain 2
Domain 3
Emails
Please enter all the mail adresses that you would like to create
Forwarders
Forwarders

AGRI ONLINE
Package Selected
R - p/m (Vat Excl)*
Contract Term - Months*

Do you require a Whatsapp Group for Artwork Approvals

YesNo
Please Specify All WHATSAPP Artwork Approval Numbers*
Logos & Artworks: (Png)

Company Name*
VAT nr
Order Nr
Address*
Suburb
Town*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Signed at*
Signed*

Clear
Select Payment Method
T's & C's*

I, hereby accept this Application and the Terms & Conditions as stipulated below

Click to View the Terms & Conditions

DEBIT ORDER FORM
Total DO Amount (VAT incl)
Date
Total Once Off (VAT incl)
Is EFT
PLEASE NOTE! This Debit Order is N/A You have selected the EFT Option.
Bank*
Branch*
Account Name*
Account Number*
Account Type*

Should be Empty: