About the Agreement(s)

Legal Jurisdiction *

About You

Company Name *

Contact Name *

Phone Number

Appointing Party

Are you the appointing party?



Company Name *
If a company, please give full corporate name; if an individual, please give full name.

Is your organisation based in the EU?



Company Registration Number

In order to submit the form you must add at least one name / title.
Invoice Details

To whom should the invoice be addressed?




Is your organisation based in the EU?



Company Registration Number

Company Name *

Contact Name *

Address *

Invoice Currency

Is our appointment a condition precedent of the agreement?



Termination of Appointment *

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