ENIC user registration form

Organisation name*
Name of individual completing this registration for UK ENIC Registration.
First Last
Email address*
Enter Email Confirm Email
Purchase Order Number (if applicable)
PLEASE CONFIRM THAT THE ORGANISATION WILL PAY THE ASSOCIATED CHARGE FOR THE UK ENIC.*
- I consent
I AM AWARE THAT MY DATA IS BEING HELD IN ACCORDANCE WITH NASBTT'S PRIVACY POLICY AND THAT THE INFORMATION I HAVE USED TO REGISTER FOR ACCESS IS CORRECT.*
- Yes I confirm that the provider will pay the associated charge
SUBSCRIBER INFORMATION
ENIC subscription includes access for five individuals (subscribers). Subscribers' details can be added now or this information can be shared with us at your convenience.
Subscriber 1 - Name
First Last
Subscriber 1 - Email address
Enter Email Confirm Email
Subscriber 2 - Name
First Last
Subscriber 2 - Email address
Enter Email Confirm Email
Subscriber 3 - Name
First Last
Subscriber 3 - Email address
Enter Email Confirm Email
Subscriber 4 - Name
First Last
Subscriber 4 - Email address
Enter Email Confirm Email
Subscriber 5 - Name
First Last
Subscriber 5 - Email address
Enter Email Confirm Email

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SUBSCRIBER INFORMATION