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London
Cardiff
Oxford
Abercynon
Wales
UK
Schedule
For UK Business address/Mail forwarding
Fields marked
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are required.
Subscription/Licence agreement (Accommodation/Residential address
Please print in capitals
•
Name/s
•
Title
•
Home address
•
Postcode
•
Country
•
Email address
Telephone/Contact numbers
•
Home
Business
UK Mobile
•
Emergency
•
Company name
Company website
Business email
•
Personal email
Business address (if different from above)
Address for mail to be forwarded to (if different from above)
Period of Agreement
•
from:
•
to:
Are you a Limited Company?
Yes
No
Registered Company number
Are you trading as a Limited Company?
Yes
No
Is that Limited Company dormant?
Yes
No
Are you trading as a Sole Trader
Yes
No
Other (if none of the above)
Cost
* £19.99 per calendar month (per company or business name)
* One month as Deposit (Deposit is refundable)
* £20.00 Postage deposit (to be topped up if/when needed)
Notice period: One month is required, to be received in writing, emails accepted by either party excluding illegal use which would result in immediate suspension).
Are you a UK citizen?
Yes
No
Nationality (if non UK)
Optional
Family/Friend/Other (Additional contact/emergencies)
Name
Address
Telephone number
Mobile
Email address
I agree to the terms and conditions and that the post/mail received/expected/expecting at/by the business address/the licence/agreement/subscription will not be used for fraudulent activites, deception or anything illegal or otherwise of the UK laws
•
Signed by Licencee: (mark with an X)
•
Date
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Print name
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I agree (mark with an X)
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