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service provider - registration form

It is the responsibility of the service provider to ensure this form is completed and submitted to PhonepayPlus. Once registered, you will be emailed your unique service provider registration number (SPN), which you will need if you wish to register numbers and services, amend details and apply for prior permission.

Please note that failure to submit this form may result in a breach of paragraph 3.2.1 of the Code of Practice (Eleventh Edition) arising.

Service provider details
Service providers full name *
Please choose from the drop down list *
Trading name (if different from above)
Company registration number

Registered address
Address line 1 *
Address line 2
Address line 3
Postcode *
Country

Correspondence address (if different from above)
Address line 1
Address line 2
Address line 3
Postcode
Country

Contact details for PhonepayPlus' use
Contact name *
Position *
Telephone *
Fax
Email *
Confirm email *

Contact details for customer use (if different from above)
Address (if different from above registered or correspondence)
Address line 1
Address line 2
Address line 3
Postcode
Country
Telephone (SP’s are required to have a UK based customer care landline number) *
Fax
Email

Contact details for ALL Directors and Partners
Contact name
Home address line 1
Home address line 2
Home address line 3
Postcode
Country
Telephone
Fax
Email
Confirm email
Click button to add another set of details

Contact details for person completing the form
Contact name *
Position *
Telephone *
Email (your SP registration number will be sent to this email address) *
Confirm email *

Agreement
I have read and understood the Code of Practice and have provided accurate answers above *
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