The RegCheck Order Form – monthly billing

Billing information

Company Name *

Contact Person *

First

Middle

Last

Email *

Website / URL

Phone

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Region for VAT purposes *

Please choose your region or country for us to apply the appropriate VAT rules

VAT number *

If your business resides within the EU, please insert your VAT number here

Email for invoice

If you want to pay by invoice, please indicate the email to which we should send the invoice. If left blank, we will send the invoice to the contact email.

Purchase Order (PO)

If you want us to include a PO number on the invoice, please supply this

RegCheck Report - one-time fee of EUR 2,795

As we cannot mix recurring and one-time payments, We will send you an invoice for this amount and use your payment card details below to process the monthly subscription.

RegCheck Report - one-time fee of EUR 3,495.75 (including VAT)

As we cannot mix recurring and one-time payments, We will send you an invoice for this amount and use your payment card details below to process the monthly subscription.

Monthly monitoring fee

Price: 125,00 €

You credit or debit card will be charged for this subscription amount on a monthly basis

Monthly monitoring fee - billed monthly (including VAT)

Price: 123,75 €

You credit or debit card will be billed for this subscription amount on a monthly basis

Debit or credit card details (for the subscription) *

Card

Name on Card

We use Stripe to securely proccess card payments.

Comments to your order

GDPR Agreement *

I consent to having The Tokenizer A/S store my submitted information to be able to process my order.