DNNSmart SuperForm Module false false

Executive Membership UK Application Form

Please complete the form below.

Please set up a standing order for:

£15 per month if your company has between 1 and 5 users
£30 per month if your company has over 5 users

When using your online banking facility please quote your broker name in the reference field.

Company Details

Company Name

Address Line 1

Address Line 2

Address Line 3

City

Postcode

Number of company sites/offices in the UK

Main Contacts

Owner/Director Name

Owner/Director Email

IT Contact Name

IT Contact Email

Accounts Contact Name

Accounts Contact Email

Training Contact Name

Training Contact Email

System Details

TAM UK Licence number

Number of Licenced users

Are you a TAM online user? *

Yes

No

Do you use/plan to use CSR24? *

Yes

No

Do you use/plan to use Mobile Producer? *

Yes

No

Do you use/plan to use the TAM credit card facility? *

Yes

No

Do you have any schemes you wish to promote on the website library? *

Yes

No

Do you use your broking system for your Accounting Processes? *

Yes, completely

No, other e.g. Sage

Nominal Ledger

Other, please give details

Which commercial quoting software do you use?

Close