Synapse IT - New Customer Form

Thank you for signing up as a new Synapse customer - your business is very much appreciated! By completing this form you are helping us to have you onboard and up and running as quickly and as efficiently as possible.
What type of customer best describes you?*
Which name should appear on invoices from Synapse?*
What's your address?*

Street Address 1

Street Address 2

Town / CityCounty / State

Post CodeCountry
Who should we register as the default contact?*

First NameLast Name
What's the best contact phone number?*
What's the best contact email address?*
Which email address(es) should our invoices be sent to (if different from above)?
All new customers are required to pay invoices via Direct Debit as the Direct Debit Guarantee Scheme protects everyone concerned. Have you completed the simple online mandate form?*
The link to the online mandate form will be shown after submitting this form. Please ensure that you complete the mandate form as services cannot go live without it. For customers outside the UK, we'll be in touch to confirm our other approved payment methods using debit or credit cards, PayPal and payments in your local currency using Wise.
Please feel free to add any additional information here that may be useful
Please verify that you are human*
Should be Empty: