CRM Registration Form

Personal Details (Management Form)
First Name Last Name    
Designation Mobile* Email iD*

Admin Details
First Name Last Name    
Designation Mobile* Email iD*

Accountant Details
Name * Mobile* Email iD*

Firm Details
Firm Name* Email ID* Address
Mobile* Land Line  
City State Employee Strength
Website URL

Login Details
Sub Domain Name*
Service Category Payment Type Payment Mode
No. of User Registration Date Activation Date

Payment Details
Cheque No Cheque Date Cheque Amt
Implemented Amt Setup Fees Product Cost

Total Tax (Tax percent is 15%)

Executive / Vendor Details
Note: Please Fill At Least One Field From Vendor Code And Vendor Mobile
  Vendor Code Vendor Mobile
Note: Please insert this No. 9009672400 in vendor Mobile field for Demo.

Other Services
Services    
1. Bulk SMS Quantity
2. IVRS Quantity
3. Voice SMS Quantity
4. Website Quantity