On Demand Scotland : apply

Application
Complete the form below to subscribe to the On Demand service. By completing this application you agree to subscribe to On Demand for a period of one year and you accept to pay the £600 plus VAT subscription fee. We will set up your account and invoice you within seven days of receipt of you application.

Name (authorised signatory)

Position

Registered Company Name
(the client)

Registered Company Address

Registered Company Postcode

Company Registration No.

Telephone

Fax

Email

Password

(minimum 6 characters)

Repeat password

Password reminder question

Password reminder answer

Preferred Contact Name
(if different from authorised
signatory above)

Preferred Contact Telephone

Type Of Company
(If other please specify)

Nature of Business

Country of Incorporation

I confirm that I have read and agree to the Terms & Conditions of the Agreement
Intrum Justitia may contact you from time to time about other services. If you do not want to receive this information please tick this box

denotes a required field