Registration Form Off-line

No-hiccups.com Ltd 137 Hale Lane, Edgware, Middlesex HA8 9QP, England Tel/Fax: 044 (0)208 959 7977

Registration Form for Booking off-line
for Private Home Owners

Please print out the following form, and then post to the address above enclosing your Registration fee of £19.95 plus VAT, total £23.44.

You will be given your Username and Password by email as soon as your Cheque has been processed, with immediate entry into the members section. Keep this safe. Should you lose it, then email to: registrations@no-hiccups.com for a reminder including your full name and address as it appears on your form so that we can find it for you.


Your Full Name:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street Address:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Town:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Post Code:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Country:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone No:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax No:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-Mail:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All lines MUST be completed (except for the Fax number if you do not have one), otherwise your form will be returned. Your Private Householders Annual Registration Fee is £19.95 Plus VAT at the current standard rate of charge.