Application Form

Please fill in the form below to register yourself for the Ebène Accelerator program

Fields marked with a (*) are compulsory

Company Name*
Surname*
BRN (Business Registration Number)*
Name*
ID No*
Contact No*
Email

Billing Address*
Fix Telephone Line no for billing
Note: Billing will be made through Mauritius Telecom billing system and invoice will be sent by MT. Amount charged will be Rs0 or Rs200 depending on package selected by an SME


Choose your package. *this field is required, Select either 3 pages website( Web essential) or a 5 pages (Web expert) below:


Normal Tarif (vat exc.)
Subsidised tariff for SME (VAT exc.)
Web Essential
 Rs 300 per month
Rs 0 for 1st year
(subsidised fully as per National Budget 2014 for companies which meet all requirements to be considered as an SME)
Web Expert
 Rs 500 per month
Rs 200 per month for 1st year
(subsidised partly as per National Budget 2014 for companies which meet all requirements to be considered as an SME)

Domain Name
 .businessmu.com
Email address
 @businessmu.com

General information for construction of your website

Company Description:
(who’re you? what you do?
Service/Product description:
(what’re your services & products? their description? related tariff?

Contact details to put on your website

Fix:
Mobile:
email address:
postal address:
opening hours:
Other information:

social media:
SEO (search engine optimisation)
Upload all document to be included in your website ( Images, word doc, etc ):

l/We hereby confirm that l/We have read, understood and agreed to be bound by the terms and conditions applicable for this service, available on ebeneaccelerator.intnet.mu.
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