FUSE™

Technical Survey

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* 1. Please provide your contact details:

Name:

Name of Organisation:

Address:

Tel:

Mobile:

Email:

Preferred Telephone Contact No:

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* 2. Website Domain Name:

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* 3. Website Format:

	Bespoke html;	wordpress;	joomla;	dnn;
Website Format:	Website Format: Bespoke html;	Website Format: wordpress;	Website Format: joomla;	Website Format: dnn;

Other (please specify)

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* 4. Webmaster/Developer:

Name:

Contact Email:

Tel:

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* 5. Pages to be Supplied:

Event Registration & Payments

In Tribute Pages

Individual Fundraising Pages

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* 6. Bank Account Details to where funds raised are to be forwarded

Name of Bank

Account Number:

Sort Code

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* 7. Current Credit/Debit Card Processing Supplier

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* 8. Current Charges (we will advise about competitive rates)

Visa and Mastercard %

Visa Debit Card %

Other Debit Cards £/%

Commercial card %

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* 9. Authorisation: I the undersigned, authorise +moregiving.co.uk to prepare the agreed software for Own Branded pages for the organisation detailed above. This authority also authorises +moregiving.co.uk to contact the organisation’s website developer to request the required technical elements for the project.

Signed:

Date:

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* 10. Thank you. You will be contacted within 48hours to verify your details and to gather your technical information. Please add any comments or questions below. If you need to contact us please email: info@moregiving.co.uk and provide a brief note of your query plus your telephone number.