Retainagroup :: TASSA Portal

TASSA Registration Form for Installer only

Any field with * is mandatory

* First Name

* Surname

* Company Name

* Address

* City/Town

* Postcode

* Main Contact No.

* Email

Website Address:

Product Course Name Installer Certificate

* Product

* Certificate Issued To

* Certificate Number

* Certificate Start Date

* Certificate Expiry Date

Please enter the other Vehicle Security Systems you have been trained and certified to install:

Liability Insurance Details

* Insurance Company

* Policy Number

* Liability Amount (£)

* Policy Start Date

* Policy Expiry Date

DBS Certificate

* DBS Certificate Number

* Date of Issue

Expiry Date

Login Details

* Create a Username

* Create a Password

* Confirm Password

Payment

Registration fee (inc. VAT):

£ 24.00

(VSST VAT registration no. is 372 3217 14)

Process Payment with operator?

* Card Type :

* Card Holder's Name :

* Card Number :

* Card Security Number :

* Expiry Date (MMYY) :

If you wish to keep a copy of this form for your records, please click here to print the form BEFORE clicking on "submit" below. An email confirming a successful submission will be sent to you.