Client Data Collection Form

YOUR NAME *

First

Last

(Primary point of contact for the project)

YOUR POSITION

YOUR EMAIL ADDRESS *

YOUR TELEPHONE NUMBER *

REGISTERED COMPANY NAME *

REGISTERED COMPANY NUMBER *

REGISTERED COMPANY ADDRESS *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

VAT NUMBER

(if applicable)

EMAIL ADDRESS FOR INVOICING *

(where you'd like us to send your invoices)

I consent to Canny Creative Ltd storing my personal data and company information in accordance with the EU GDPR act. *

SIGNATURE

DATE

Name