Address Line 1

Address Line 2

Address Line 3

Area Town

County

Postcode

Company Telephone Number

Forename

Surname

Position

Telephone Number

Mobile Phone Number

Email Address

I understand that the company must not use any of the promotional materials, logos or guarantees etc. or purport membership until it has recieved officaial notification in writing of acceptance into membership.

Both the insurance underwriters and the Scheme will carry out checks on any current and past businesses in which the directors/proprietors may have been involved. This will include credit and background history checks on your Company, its owners, directors and managers which shall include but not be limited to multiple phoenix checks, credit scores, CCJ checks and similar trading name checks.

Privacy Notice

We collect and use your data for the purposes of the scheme and its administration, including the consideration for membership of the scheme. When considering membership, we use data for the purposes of considering entry into a contract, we will use information (if membership is granted) under a contract with you, if you are the member, or because it is in our legitimate interests that we process this data if you are not. Without the data we would not be able to consider membership of the scheme or to administer it. If we cannot process your data, we could not consider an application. We may provide information about you and your employees to third parties, which may include insurance carriers, fraud agencies, credit reference agencies, central government departments, certification agencies, regulatory authorities and other consumer protection organisations and consumer codes. Where we provided data to a third party we will ensure that if they process data for us an agreement is in place for this. Some third parties may receive data from us that they will process in their own right as they have a legitimate interest to do so.

We may monitor and record phone calls for the purposes of training and quality assurance. When providing information about another person, you confirm they have given you their permission and that we may process their personal data (including any sensitive data) for the purposes as set out above.

• • to ask for a copy of the information we hold about you;
• • the right to request rectification or erasure of your data;
• • the right to request we restrict any processing of your data, to object to its processing or to data portability.

If you have any questions, or you would like to find out more about this you can write to the Data Protection Officer at Centurion House, Leyland Business Park, Centurion Way, Leyland, PR25 3GR. If you have any complaints about our handling of your personal data, you may complain to the Information Commissioner.

Your data will be stored only for as long as is necessary, generally this will be for the period of membership and seven years afterwards to ensure we meet our regulatory requirements.

Forename

Surname

Email Address of the signatory

Telephone number of the signatory