{{dc.hrob_-_Funeral Plan + ACR check + Limit Raise}}

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.

Please state the term or expected term of your GoCardless contract

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

If you have a policy (e.g. Treating Customers Fairly / Eligibility) that covers this, please provide a copy.

Fo example, on average customers typically take our funeral plans totalling £7,500

For example, customers typically utilise the plan after 8 years on average

Please select the % of chargebacks in value terms

Please select the % of failures in value terms