Authorised Contacts Form

Authorised Contacts
Company Name
Approved by (primary
contact)
Signature
Date
Primary Contact (maximum 1)
Please select action:
Name:
□ Add
Designation:
□ Update
Email address:
□ Remove Office phone:
Mobile phone:
Billing Contact (maximum 1)
Please select action:
Name:
□ Add
Designation:
□ Update
Email address:
□ Remove Office phone:
Mobile phone:
Technical Support Contact
Please select action:
Name:
□ Add
Designation:
□ Update
Email address:
□ Remove Office phone:
Mobile phone:
Technical Support Contact
Please select action:
Name:
□ Add
Designation:
□ Update
Email address:
□ Remove Office phone:
Mobile phone:
Outage Notification Contact
Please select action:
Name:
□ Add
Designation:
□ Update
Email address:
□ Remove Office phone:
Mobile phone:
Primary
Billing
Technical Support
Outage Notification
Manage
Authorised
Contacts
Billing
Queries &
Invoicing
Submit
Support
Requests
Receive
Monthly
Reports
Notified of
Outages
Notified of
Planned
Downtime
Y
Y
Y
Y
N
Y
N
Y
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
Y
Y