vCard order form – DepiMedia™

Example of a vCard *

Okay, understood.

Please copy and open the following link in a new tab. This is an example of what your vCard will resemble. https://vcard.depiafrica.com/depimedia/

Choose your option *

12 Month Subscription billed once off. - R 1,500.00
24 Month Subscription billed once off. - R 2,500.00

Important *

I understand and accept

Note: All of the below information will be shown on your vCard. Ensure that you provide the correct information and spelling.

Name (Hereafter referred to as the Client) *

First

Last

Designation in Company *

What is your title? eg: Manager, CEO, Director etc.

Company Name (Hereafter referred to as the Client) *

Phone *

Mobile

Website / URL

eg: https://www.example.co.za

Email *

Confirm Email

Please ensure that the email address is correct.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Select Business Hours

Company logo or your photo *

Click or drag a file to this area to upload.

Upload your logo. ( File type : .png, .jpg and size : 200 x 200 or smaller)

Banner Image Upload *

Click or drag a file to this area to upload.

Upload a banner image. Eg: SA Flag. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Company or Personal Description *

Tell us yourself or your company. Max. 100 words.

Services Offered

What services do you offer?

Services Offered

Service 1 *

Description: *

Max. 10 words.

Website / URL

Image Upload *

Click or drag a file to this area to upload.

Upload a image to depict the service you offer. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Service 2

Description:

Max. 10 words.

Website / URL

Image Upload

Click or drag a file to this area to upload.

Upload a image to depict the service you offer. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Testimonials

Tell us what you clients/customers say.

Testimonials

Image

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Rating *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Description:

Customer review of you. Eg: Great service. Reasonably priced.

Image

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Rating

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Description:

Customer review of you. Eg: Great service. Reasonably priced.

Image

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Rating

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Description:

Customer review of you. Eg: Great service. Reasonably priced.

Image

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Rating

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Description:

Customer review of you. Eg: Great service. Reasonably priced.

Social Media

Facebook URL:

Enter the full facebook address. eg: https://www.facebook.com/depimedia

Twitter (X) URL:

Enter the full Twitter(X) address. eg: https://twitter.com/MediaDepi

Linked In URL:

Enter the full Linked In address. eg: https://www.linkedin.com/in/depimedia

Instagram URL: (copy)

Enter the full Instagram address. eg: https://www.instagram.com/depimedia/

Images of your Business/Yourself

Image 1

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Image 2

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Image 3

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Image 4

Click or drag a file to this area to upload.

Upload image of your client. ( File type : .png, .jpg and size : 300 x 300 or smaller)

Comment or Message *

Max. 50 words.

Ammendments *

I understand and accept

Note: Amendments can be made within the first 3 days for free thereafter a fee of R500.00 will be charged per amendment. Under no circumstances will any subscription or amendment fees be refunded.

Payment: (please tick): *

I understand and accept

Once submitted, payment is binding. Please pay within 24 hours. Our banking details are: FNB PLATINUM BUSINESS ACCOUNT: Account Name: *DEPI (PTY) LTD. t/a DepiMedia. Account Number : 62851542681. Branch Code: 250442. Swift Code: FIRNZAJJ. Branch Name: BOKSBURG(114). Note: This will also be email to you.

Total Amount

R 0.00

Signature *

Note that once signed and submitted, payment is binding and you will be liable for the subscription amount.

Date / Time *

Date

Time

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