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Subscription/Licence agreement (Accommodation/Residential address
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Name/s
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Title
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Home Address
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Postcode
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Country
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Email Address
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Telephone/Contact numbers
Home
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Business
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UK Mobile
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Emergency
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Company name
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Company website
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Business email
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Personal email
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Address for mail to be forwarded to (if different from above)
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Business address (if different from above)
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Period of Agreement
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To:
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Are you a Limited Company?
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Registered Company number
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Are you trading as a Limited Company?
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Is that Limited Company dormant?
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Are you trading as a Sole Trader
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Other (if none of the above)
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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?
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Family/Friend/Other (Additional contact/emergencies)
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Address
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Telephone number
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Mobile
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Email address
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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
Date
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