Dealer Registration Form


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Personal information that you provide with your registration will only be used by the TV Licensing Authority (BBC and its service providers) to help administer the TV Licence system, including licence applications, fee collection and enforcement. Your personal information will not be provided to anyone else unless we are obliged by law to do so.

Your company name
 


Address

Trading as: 

 

Postcode:


Telephone number
 


e-mail address
 


Manager
 


Is your main business: (please tick box)
TV Sales  TV Rentals     Set Top Boxes  Satelite or Cable TV Company  
PC Sales  PC TV Cards  VCR                    


Other(please state)
 


Average sales/rentals per month?

Under 20           Between 20-100     100+ 
Is your company computerised? Yes                        No    
Would you be interested in notifying
TV Licensing by disk/e-mail?		 Yes                        No    

Please list other branches

 

 

Telephone number:


 

 

Telephone number:


 

 

Telephone number:


 

 

Telephone number:



 

 

Telephone number:


 

 

Telephone number:

If you have more outlets, please use a separate sheet or submit a complete
store address list in alpha/postcode order.


For TV Licensing only.Please do not write below this line.
Dealer No.
 

Outlet
 

Representative
 

Date
 

Pads/envelopes ordered  Spec sent  Letter sent