Endorsement - Renewal

Contact Details

By completing this form, the person named below confirms that they have the authority to instigate renewal on behalf of the endorsed provider, and by doing so agrees that the renewal fee will be paid in full by the due date.

Endorsement SFID

Organisation Name

First Name

Last Name

Direct Line

Have the contact details specified last year changed?

YesNo

Please provide details so we can update our records

Main Contact First Name

Main Contact Last Name

Main Contact Job Title

Main Contact Telephone

Main Contact Email

Main Contact Address

Finance Contact First Name

Finance Contact Last Name

Finance Contact Telephone

Finance Contact Email

Main Finance Address

Administrator First Name

Administrator Last Name

Administrator Telephone

Administrator Email

Payment

Where is your invoicing address:

UKRest of World

Are you VAT registered?

YesNo

VAT No:

Please provide evidence of your business status

Upload a letterhead paperProvide the registered Company Number

Please provide your registered company number.

Please upload a letterhead paper

Renewal fee (including VAT):

Renewal fee (ex VAT):

Payment method

PO number (if applicable)

Terms
Please indicate your agreement to the following:

I have read and agree to the Contract Terms including Code of Practice (please click the link to view them).

Paypal_Hidden_Fields

Thank you for completing the renewal form and an invoice will be issued as soon as we receive it. Please note if you wish to pay via PayPal please let us know at accounts@pdapproval.com as an 8% fee will be added to your invoice together with a Pay Now button which will give you access to the PayPal gateway. Alternatively please make a BACs payment which does not incur any fees.