Radio Links - Simple Site Licence - Brentwood Communications

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Email Address
Customer Name
Customer Email Address
Please complete the following information to apply for a Simple Site Licence.
Company Name
Company Address
Company Contact Name*
Company Telephone Number*
Company Email Address*
Company Registration Number
License Management
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License Company Name
License Company Address
License Contact Name*
License Company Telephone Number*
License Company Email Address*
Payment Details
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Payment Company Name
Payment Company Address
Payment Contact Name
Payment Company Telephone Number
Payment Company Email Address
Licence Trading
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Licence Company Name
Licence Company Address
Licence Contact Name
Licence Company Telephone Number
Licence Company Email Address
Technical Details
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Technical Contact Name
Technical Contact Telephone Number
Technical Contact Email Address
Technical Address
Site Details
Contact details for where the radios will be used:
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Contact Name
Address
Phone
This field is for validation purposes and should be left unchanged.

License Management