EmailMeForm
Thank you for choosing to work with us again! We truly appreciate your business.
Before we get started on your new project kindly fill in the form below so that we can ensure we have your most up-to-date information.
We look forward to working with you again, and if at any time you have questions please contact us at
604-510-0011 (ext 1)
or
client.services@net360solutions.com
Thank you,
--
Client Services Team
Net 360 Solutions
Contact Name
*
First
Last
Company Name
*
(of your existing account with us)
Website Address (if applicable)
(ie. www.your-website-name.com)
Your Email Address
*
Contact Phone
*
--- EXISTING ACCOUNT DETAILS ---
*Only if you need to update any of your account information please do so below.
Company Address
City
Postal Code
Contact Phone
Accounting Email #1
Where we will send emails to related to your account with us.
Accounting Email #2
Optional - If you require invoices to be sent to a 2nd email enter it here.
--- PAYMENT DETAILS ---
**Please add your payment details below even if we already have your information on file.
Preferred Payment Method
VISA
MASTERCARD
AMERICAN EXPRESS
PAYPAL
E-TRANSFER
CHEQUE
**Please note that a credit card is required for Google or Facebook Ads.
Credit Card Number (no spaces)
*
Expiry Date
*
MM
/
YY
CVC Number
*
3 digit code on back of card
Credit Card Billing Postal Code
*
Comments (optional)
Payment Authorization (if paying by credit card):
*
I AGREE
By checking the box "I AGREE' above you agree to authorize the credit card number as submitted on this form to be charged by Net 360 Solutions for all current & future invoices,
and only if applicable
, to be provided by Net 360 Solutions to 3rd party companies on your behalf (i.e. for your Facebook or Instagram ads, or Google AdWords, Google Workspace account, etc.), that we may set up or manage on your behalf, but that are charged independently by the same 3rd party companies.
Terms & Conditions & Privacy Policy:
*
I AGREE
By checking the box "I AGREE' above, you agree to Net 360 Solutions
Terms & Conditions (read here)
and
Privacy Policy (read here)
on behalf of the company or other legal entity for which you are acting or, if there is no company or legal entity, on behalf of yourself as an individual (in either case, “You”). You represent and warrant that you are over the age of 18, and have the right and authority to act on behalf of and bind such entity (if any) and yourself.
Your First & Last Name (if different from contact name above).
