Sign up to VB Media

Please complete the form below. We will then send you an automated email with further instructions on, for pointing your domain to us.

1 Contact Details
We will use these to contact you if needs be.
1. Full Name
2. Email
3. Telephone
2 Company Information
We will use these details to invoice you monthly.
1. Registered Company Name
2. Street Address
3. Postcode
4. Invoice Email
  
  The email address where you would like invoices to be sent
3 Website Domain
The URL / Domain that you own and will be used to host your site. We will send you instructions for this once the form is submitted
1. Domain
  
  Use a temporary domain if you would like
4 Set Up Service
Would you like to use our set-up service? You can also take this out at a later stage.
1. Set-Up
5 Discount
Enter your discount code here. We may need to validate this later.
1. Code
6 Agree to our Terms and Conditions
1. I have read, understood and accept the full terms and conditions.
1. £195 +vat one off Upfront cost paid via direct debit This is optional - see step 4
2. £49 +vat per month Billed from 2nd May 2020
Once submitted you will receive an automatic email to confirm. This will include instructions for pointing your domain to us and setting up your direct-debit mandate.

See step 6.
You need to accept our terms in order to submit this request.

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