Portal Registration
Welcome to the Tirlán Customer e-Billing Signup Form. In order to register for access to your Tirlán account online please complete the following information.
Company Information
IMPORTANT:
All details entered must be accurate. Failure to supply accurate details will lead to problems accessing the portal. Please note all fields marked with an asterix
*
are mandatory
1. What is your Tirlán account code?
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*
2. Company Details:
Company Name:
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*
Address 1:
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*
Address 2:
City/Town:
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*
County:
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*
Postal Code:
Country:
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*
Phone Number:
*
*
*
3. What is your company VAT Registration Number?
4. What is your company website address?
User Information
1. Contact Name:
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*
IMPORTANT:
The email address you enter will be used to send important information to you regarding your account. It is imperative that you input the correct email address. If you do not, your account cannot be created and you will not be able to access the portal.
2. Email Address:
*
*
*
3. Mobile Number:
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*
*
IMPORTANT:
The Pin code and Memorable information you enter will be used to recover passwords and unlock accounts.
Make sure they are easy to remember as they are very important.
4. Pin Code:
*
*
*
5. Memorable Information:
Question:
*
Please Select a Question
What is your favourite colour?
What is your place of birth?
What is the name of your first school?
What is the name of your favorite sports team?
Other
Your Question:
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*
Answer:
*
*
Please Confirm Your Details:
Please confirm that the information you have supplied is as accurate as you can provide. This information will be saved and used to create your account.
Cancel
Close
Information Submitted, Saving Was Successful
Thank you for completing the registration form. You will shortly receive an email containing instructions on how to complete the registration process.