Melissi Web Form: Current Client Update
Use this form to send corrections and updates to your Melissi Statement.
To leave this page without sending, just close the tab/window.
 
  Thank you for taking the time to update your details.
Once you have submitted them, we will send you an updated Account Statement as soon as possible.
 
Please complete only those sections which need updating - and those marked **
 


YOU:
Your Name: **
Your E-mail Address: ** (a copy of these details will be sent to this e-mail address)
 

YOUR INSTITUTION:

Institution Name:

**
Department:

Address:
Telephone:
Website:
 

CONTACT 1:

Name 1:
Job Title 1:
E-mail 1:
Telephone 1:
 

CONTACT 2:
Name 2:
 (please include a person responsible for software installation)
Job Title 2:
E-mail 2:
Telephone 2:
 

CONTACT 3:
Name 3:
Job Title 3:
E-mail 3:
Telephone 3:
 

ADDITIONAL INFORMATION:
  Please use this section to tell anything else you'd like us to know.
Comments:
 

"Melissi" is a trading name of Scene Cinema Ltd. PO Box 290, HU13 0WG