Customer Record Amendment Form

We will apply to Royal Mail for a licence on your behalf to notify them of your change of details.

Please note the following information:

There is an administration charge of £20.00 plus VAT to cover all licence applications.

If you are changing to a new post office area (i.e. CM19) you will require a new 'town die' (the date and town circle which prints on your envelope). In this event the total administration charge to cover the cost of the new licence and town die will be: £205.00 plus VAT for the PostPerfect (B700), A900, B900, E400, all Secap and all the DM range. Or £75.00 plus VAT
for the DM100 range (P720).

In the event of a change of ownership, an administration charge of £50.00 plus VAT will be made for the transfer of contracts.

The relevant charge will be invoiced upon completion of the re-licence/transfer. This process may take up to two weeks from receipt of this completed form.

Thank you for taking the time to complete this form.

Please fill out the following information below and your records will be amended accordingly.

Title:

First Name:*

Last Name:*

Job/Position:

Contact Name:

Company Name:

Address Line 1:*

Address Line 2:

Town:

County:

Postcode:

Telephone:

Fax:

Email Address:

Confirm Email Address:

Account Number:

Meter Serial Number:

Moving Date:

New Company Name (If applicable):

New Address Line 1:

New Address Line 2:

New Town:

New County:

New Postcode:

New Telephone:

Are Invoices to be sent to the new address?		Yes No

If 'NO', please provide: Invoice Address Line 1:

Invoice Address Line 2:

Invoice Town:

Invoice County:

Invoice Postcode:

Has the Company changed ownership or Directors?		Yes No

Please confirm you have read the terms of this amendment and accept the charges.		Yes No


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Pitney Bowes Limited: Registered Office: The Pinnacles, Harlow, Essex, CM19 5BD, Registered in England No: 182037.
Pitney Bowes Finance plc: Registered Office: The Pinnacles, Harlow, Essex, CM19 5BD, Registered in England No: 820730.