Register for Directory Listing

By filling in this form, you are under no obligation to partake in any of our program's features or services.

The information collected in this form will assist us in addressing your needs and will also be required should you decide to participate in the I Support Lagos program. We will get in contact with you as soon as possible, after receiving your registration details, to discuss the full scope of the program with you and as to how your organization could benefit from this program.

The collection of information in this form is to be used for internal purposes only. Our standard privacy policy terms and conditions apply and no information collected will be shared with any other party or organization.

Business Information Registration



Business / Organization Name: :: Required: Please enter your business / organization full registered name here: eg. I Support Lagos, Lda.
 
Business / Organization Brief: :: Type a brief description of your company, the key products and/or services you offer and your business outlook.
 
Physical Address: :: Required: Please enter you physical/street address. We need it to geo-code your address in order to display it on a map.
 
Postal Address: :: Required: Please enter your full postal address. If you have street delivery, just copy your physical address details. Please do include the postal code
 
City or Town: :: Required: Please select the correct one from the list
 
Contact Person: :: Required: Please enter the First Name and Last Name of your contact person
 
Telephone: :: Required: Please enter your telephone number (format: xxx yyy zzz)
 
Fax: :: Optional: Please enter your Fax number if you have one. (format: xxx yyy zzz)
 
Contact's Mobile No: :: Required: Please enter your contact person's mobile telephone number. If one is not available, a number where he/she could be contacted. (format: xxx yyy zzz)
 
e-mail: :: Required: Please enter a valid e-mail address.
 
Website Address :: Optional: Please enter your website adress if available.
 
Products / Services: :: Optional: Please list here the typical range of products and/or services you offer. You can enter more than one on a line, just separate each item with a comma. (eg. Accounting, Financial services, Tax returns etc.)
 

 
  
 


 


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Last modified on Wednesday, 29 December 2010 22:32
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