Your details 1. Your first name (Required) 2. Your last name (Required) 3. Contact telephone number (Required) 4. Your email address (Required) 5. Your home address (Required) Postcode 6. Is this your correspondence address? (Required) Is this your correspondence address? Please select ... Yes No 7. Business name (Required) 8. Address the business is moving into (Required) Postcode 9. Is this your correspondence address? (Required) Is this your correspondence address? Please select ... Yes No 10. What date did you purchase the premises/when is your lease dated from? (Required) Help: DD/MM/YYYY 11. From what date are you occupying or going to be occupying the premises? (Required) Help: DD/MM/YYYY 12. Is this a limited company? (Required) Is this a limited company? Please select ... Yes No 13. Company registration number Help: If it is a limited company, tell us the company registration number 14. Is this the only business premises you occupy in your name? (Required) Is this the only business premises you occupy in your name? Please select ... Yes No