Client Application Form
Choose Leads Reference
Company Name
Registered Address
Registered Company Number
Contact Name
Telephone Number
Email Address
Registered ICO Number
Registered ICO Number Renewal Date
Is your company regulated and registered with the FCA?
Yes
No
Company Website
Privacy Policy URL
Privacy Policy File
Is your company VAT registered?
Yes
No
VAT Registration Number
If your company is VAT exempt, please confirm why
Name of company Director
Does your company comply with the UK General Data Protection Regulation (UK GDPR), Data Protection Act 2018 (DPA) and the Privacy & Electronic Communication Regulation 2003 (PECR)?
Yes
No
What is your CLI? (number you dial out from)
What company name do you call out under?
Notes from Client
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