Registration
Please complete the following registration form in as much detail as you can so that we can provide a better profile of the solution we can offer.
For your protection and privacy these pages are running on CPU's secure server. This means all information is encrypted before being sent over the Internet. (You can verify this by right-clicking on this frame and selecting properties). For additional protection we use Secpay to process credit card details.
Company name
Trading style
Trading address
Address 1
Address 2
Address 3
Town
County
Post Code
Country The service is only available in the United Kingdom
Number of trading outlets
Registered office (if different to trading address)
Address 1
Address 2
Town
County
Post Code
Country The service is only available in the United Kingdom
Company Reg. No.
VAT no.
Established year
Company turnover ex. VAT £ Percentage private individuals (approx)
Contact details
Contact name Title Forename Surname
Position of contact
Email
Tel
Fax
Maintenance
Who currently carries out your maintenance?
Consumer finance
Do you have a consumer finance company? Yes No
Select finance company
Finance company name (if not in list above)
Consumer credit licence number
CCL categories
Merchant services (we offer preferential merchant services rates)
Do you accept credit cards? Yes No
Credit card company name
Turnover on credit cards Average transaction value
Turnover on debit cards Average transaction value
Current credit card service charge
Current debit card service charge
Invoice discounting (we offer preferential invoice discounting and factoring rates)
Do you use invoice discounting? Yes No
Invoice discounting company
Other  
How many desktop PCs do you sell per month?
How many laptops do you sell per month?
Brand of desktops sold
Brand of laptops sold
References (required for merchant services and invoice discounting)
Names and home addresses of all directors / partners / proprieters
Bank name
Bank address
Bank account name
Bank account number
Bank sort code
Login details (please enter details that you will use to login to the site at a later date)
User name
Password