Your name:_________________________________________________________________________

     Company name:______________________________________________________________________

   Street address:________________________________________________________________________

                  ______________________________Postal code:___________________________________

            Phone:_____________________________ Fax:______________________________________

   Current Email :_________________________________________________________________________ 


Place your first and second choice of E-Mail address: (also for your web address)
eg:johnsm@i4l.com will give you a web address of www.i4l.com/johnsm/
         
        Choice 1 :_______________________________@i4l.com

        Choice 2 :_______________________________@i4l.com

Please deliver all E-mail to:
(  ) my fax No.   (  ) my current email address  (  )other______________________

Payment details
Payment by Cheque (minimum 6 months)
To pay by cheque please enclose a cheque for £93.93 made payable to 
Digitalmail Exchange Ltd to cover 6 months line rent and connection charges.

Payment by Standing Order
Connection charge £20.00, Monthly Line Rental £9.99, (ex. VAT @ 17.5%)
 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Standing Order Mandate 
Please accept the following Instructions and make payments to

Bank        Branch       Sort Code   Account Number       For the credit of
Lloyds   Gonville Pl.    30-13-55    1204488        Digitalmail Exchange Ltd.     
      

The Initial Sum of Fifty-Eight pounds and seventy-one pence (£58.71) and
thereafter £35.21 every 3 months until further notice commencing...............

Please quote Ref:........(official use only) and debit my account accordingly.

Bank.......................Branch......................SortCode....................................

Address.............................................................................................................

AccountNumber.................... Account Name................................................

Signature..............................................Date.........................
 
Note:The bank will not undertake to.1)make any reference to V.A.T. or other indeterminate element.2)advise payers address
to Beneficiary.3)advise beneficiary of inability to pay.4)request beneficiary's banker to advise of receipt of payment.

Please Post this original to :
   
The DigitalMail Exchange Ltd. Eastern Court, 182 -190 Newmarket Road,
 Cambridge CB5 8HE
Tel : 01223 353469    Fax : 01223 571678     E-Mail : admin@i4l.com