afdec FORM FOR ProChannel CRM SOFTWARE
Please print and complete this page and mail to:-

The Secretary, afdec,
The Manor House, High Street,
Buntingford, Herts SG9 9AB UK

or fax it directly to: (+44 1763) 273255


 OUR REFERENCE NUMBER ___________________________

I am interested in ProChannel software. Please arrange for Azerity to contact me. 

I understand that Azerity and afdec have a special agreement whereby we will benefit from a 5% price reduction based on afdec membership.

I confirm that my company is a paid-up member of afdec.

Name    .......................................................  (please use capital letters)
           
 
Company: .............................................................................

Address: ...............................................................................

.............................................................................................  

Post Code: .....................

Tel: ....................................   Fax:  .......................................

Email contact: .....................................