GoCardless Merchant Questionnaire - Memberships + ACR check + Refunds

To get help faster, please check this important information about contacting Support.

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Please enter "Not Applicable" if you have not been in contact with our Sales Team

Please state the company name as this appears on the company register

For example, you expect to process £200,000 through GoCardless in the next 12 months in total please only insert: 200000

Please state this as a number, not a % i.e if 60% please only insert '60'

*Please insert this as a number only* for example if it is 40 days, please only insert: 40. If there is a further fulfilment split, i.e. 20% is 30 days and 40% is 365 days, then please insert the weighted days ( (20%*30) + (40%*365)). In this example the output would be: 152.

For example, YR1 £18k, YR2 £20k, YR3 £25k

Please state the term or expected term of your GoCardless contract

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