Sales Agent Information

Sales Agent Email *

Lead Information

Company Name *

Total number of employees *

First Name *

Last Name *

Email *

Phone *

Has an Exploratory Call Been Scheduled? *

Yes

No

Additional Information

I agree to the terms & conditions provided by the EB Now Ltd. By providing my email address, I agree to receive updates from the business.

The lead would like to have an exploratory chat to find out how an employee benefits package can be instrumental to retaining and attracting key members of staff.