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
For example, for the UK this will be the Companies House registrar entity number
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.
e.g. £10,000 in total over 12 months
e.g. Weekly, Monthly, Quarterly, Annually
Please select the % of chargebacks in value terms
Please select the % of failures in value terms
Before / After
e.g. 500 (£/$/€) per month in refunds
Please see email for the link to the table - once complete, please upload to the 'attachments' section of this form
If you are in contact with the GoCardless sales team please ask them for a GC reference number. It could be called Opportunity ID or Account ID.