Agreement to Terms of Payment Form

24.09.2020

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1 Step 1

Agreement to Terms of PaymentTOP1

URN

First Name

Last Name

Your Email Address

Your Personal Security PIN (Minimum of 6 characters alphanumeric)

I confirm the following:

I agree to the Fee Notes being issued

I agree to the Terms of Payment as set out in the Statement of Account (SOA)

I authorise Avar to take payment(s) by credit card as agreed in the Statement of Account (SOA)