Customer Details Form
General Information
Company Name
*
Client Full Name
*
Landline Number
Company VAT No.
Client Email
*
Mobile Number
*
Delivery Address
*
Postal Address
*
Billing Information
Please indicate who should receive the Invoice(s) and Statement(s).
Full Name
*
Optional Email 1
Accept Electronic Statements?
*
Yes
No
Email
*
Optional Email 2
Agreement
I / We hereby certify that the herein contained information is true and correct in each and every aspect any may be relied upon, and undertake to notify Kaldera (Pty) Ltd in writing of any change in details shown above.
All invoices to be settled upon receipt thereof. Interest will be charged at the prevailing interest rate on any overdue accounts.
All goods remain vested in Kaldera (Pty) Ltd until paid for in full.
I am an authorised representative of the above mentioned company and agree to the terms above.
Please enable JavaScript to submit this form.
Send
This field should be left blank
Included in Backups
Domains Directory incl. Website
Subdomain Lists
FTP Accounts
FTP Settings
Database Settings
Database Data
Email Accounts
❌ Email Data (NB! We can only backup what is stored ON the server. We do NOT backup your device!)
Email Settings
Vacation Messages