Telecom Tariff Membership Form

Updated:
1st May 2018

Credit Cards

Telecom Tariff Membership Order Form

For full details about membership of this web site, please see the site Overview.

This order form is on a secure web server, and your browser should be indicating a closed padlock symbol to confirm this. Checking the security credentials will confirm this URL is secured for Magenta Systems Ltd. Please also note that your credit card number is encrypted on the server, and never saved or printed in unencrypted format.

To receive site access the same day, we recommend payment by credit or debit card. Otherwise, please complete this form with Payment Type as 'Cheque/Bank Transfer' (and optionally add your fax number in Comments) and you will be sent a pro forma invoice which includes our international bank account details so payment may be made by electronic funds transfer.

CodeLook Membership is available free for non-commercial use by the various authorities that use CodeLook to trace telecom operators, the order must be from a government email address such as police or gov with a reason for free application in the Comments field.


	Email delivery address
Email Address	(required, please get it correct!!)
	Registered user name and address
Full Name	(required)
Name on credit card
Company Name
Address 1	(required, must be identical to bill)
Address 2
Address 3
City/Town	(required, must be identical to bill)
County
Post Code	(required, must be identical to bill)
Country	(required)
	Credit card holder or billing name and address, if different to registered details
Your Name
Name on credit card
Company Name
Address 1
Address 2
Address 3
City/Town
County or State
Post Code or Zip Code
Country
Telephone	(required for credit card confirmation)
Membership Category
Member Renewal	Please specify if this is a membership renewal or upgrade (and provide your existing logon below)
Member Logon Name	(min 4, max 12 characters, no symbols)
Member Password	(enter it twice, min 4, max 8 characters, no symbols)
Update Notification	do you want to hear when this site is updated?
Payment Type
Credit or debit card number	(the large numbers on the card) MasterCard, VISA/Delta, American Express.
Expiry Date	(MM/YY, ie 12/19, credit/debit card users must complete this date)
Issuing Bank	(Not the card type, (The name of the bank that issued the card and the country, except Amex)
Security Code	(Mastercard/VISA, the 3 digit code printed at the end of the signature strip on the back of the card. Amex, the four digit code printed on the front above the embossed card number)
VAT Number (if in Europe)	(not needed for UK members, only other EU countries)
Debit Amount	I authorise the debit of my card for the amount (or cheque value) £ (same as Category box above, required)
Comments (Optional)	(It would be useful to know where you heard about this site and any special interest you have in telecom tariffs)

If you have trouble completing or submitting the form, please Email Magenta Systems to report a problem. Cost in the UK must have VAT at 20% added. Companies in the European Union (except the UK) should quote their VAT number otherwise VAT must be charged. Countries outside the EU will not be charged VAT. Cheques should be made out to "Magenta Systems Ltd" and sent to Magenta Systems Ltd, 9 Vincent Road, Croydon CR0 6ED, United Kingdom. Whether you pay by credit/debit card or cheque, you will receive a PDF tax invoice by email shortly after your payment is processed. Your Internet host details are automatically captured by this form for security purposes. User Address: ec2-3-235-176-80.compute-1.amazonaws.com (3.235.176.80)