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Request for Additional/New POS

    Personal Details

    First Name * Surname *
    e-Mail Address * Phone *

    Company Details

    Company Name * VAT Number *
    Shireburn Product

    Shop Details (where applicable)

    Shop Name Address
    Phone e-Mail Address
    Website EXO #
    WINSIMS Location POS ID #
    Billing Instructions

    You can read Shireburn Software's Data Protection Policy here.

    * denoted compulsory fields


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