The RegCheck Order Form – yearly 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

RegCheck Report - one-time fee of EUR 2,495

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 yearly subscription (if you choose card payment below).

RegCheck Report - one-time fee of EUR 3,118.75 (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 yearly subscription (if you choose card payment below).

Monthly monitoring fee - billed yearly (= EUR 99 per month)

Price: 1.188,00 €

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

Monthly monitoring fee - billed yearly (= EUR 123,75 per month including VAT)

Price: 1.485,00 €

You can choose below if you want us to process your yearly subscription via invoice or credit/debit card. If you choose card payments, your credit or debit card will be billed for this subscription amount on a yearly basis

Pay yearly monitoring subscription by *

Credit or debit card
Invoice

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

Payment

We use Stripe to securely process card payments.

Debit or credit card information for the monitoring subscription *

Card

Name on Card

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.