Ai Agent ANNA Monthly Program Registration

Ai Agent ANNA Monthly Program Registration
Please Note: You will need to complete the form fully in one go, as their is NO SAVE Facillity Option.
Business Name:*
Registered Business Name: Trading Name (if different):
Contact Person:*

First NameLast Name
Position in the Company:*
Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Contact Number:*
Business Website Link:
Enter Your 1st Designated Geo Location:*
Enter Your 2nd Designated Geo Location:*
Enter Your 3rd Designated Geo Location:*
Please select the Social Channels You Would Like the Builders Quote Media team to help manage:*

FacebookInstagramLinkedInX - TwitterPinterestYouTubeTikTokGoogle My Business Profile
Declaration:

I declare that the information provided in this registration form is true and accurate to the best of my knowledge.
I also give consent to the £499 Per Month Direct Debit Setup Via Stripe Payment Portal.

Confirm
I acknowledge that the minimum term is for Six Months and then the payment will move over to on-going 30 Day Rolling Service.

Confirm
I accept the Builders Quote terms & conditions and I agree that my Typed Name below can be used as digital representation of my signature to that fact.

Confirm
Your Digital Signature*

Powered by Jotform SignClear
To accept, type your in your Full Name
Please note: Once you click the "Register" You will then be redirected to the Stripe payment portal to setup your monthly payment plan.

Within 24 hours of registering, you will automatically receive your Direct Debit setup confirmation and Your Authorisation Code via email.

You will need Your Authorisation Code in order for AI AGENT ANNA TO APPROVE YOU WORK.

After your Registeration in complete a Member of the Team will arrange a 1-2-1 call with you via Zoom to go thorugh the next onboarding phase.
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