Account application form

This form gives us the information we need to prepare your engagement letter and onboard you with Flint IP.

Submitting this form doesn’t create a client relationship. Our engagement will begin once you sign our engagement letter.

Client name *

This is the full legal name of the person or entity that will be our client.

Trading name

If your business trades in a name different than the one above, please list that name.

Authorised contact person's name *

First

Last

The name of the person we who is authorised to instruct us on behalf of the client.

Authorised contact person's email *

Billing contact

If your desired billing contact is not the authorised contact.

Billing contact email *

Preferred invoicing currencyNZDAUDUSD

Any special instructions for invoicing

Technology description *

A single-line summary of the technology you are seeking our services in relation to (the field and type of the product or process).

How you found us

Who referred you to us, or how you found us.

Submit