CISAS Membership Application

CISAS Membership Application
Please complete this form and submit online. You will also be required to make a payment to subscribe to CISAS. Upon receipt, CISAS will send you a membership contract for review and signature. View the example contract here.

For more information about the service, please visit our website at: https://www.cedr.com/consumer/cisas/ or email the team at cisas@cedr.com.
Company*
Brand Name(s)*
Include all brands you would like to be covered by CISAS
Company Registration Number*
Company Address*

Street Address Line 1

Street Address Line 2

TownCounty

Post Code
Country*
Website*
Estimated Annual Deadlocked Complaints*
Please provide an estimate of the number of deadlocked complaints you expect will be referred to CISAS per annum.
Contract Start*

DayMonthYear
What date would you like the contract to start.

Case Handler

Please provide details of the employee who should be contacted if CISAS receives a claim about your company.
Case Handler Name*

First NameLast Name
Case Handler Job Title*
Case Handler Telephone Number*
Case Handler Email*

Line Manager

Who should CISAS contact on matters of best practice, up-dates on CISAS processes and stage one compliance matters?
Line Manager Name*

First NameLast Name
Line Manager Job Title*
Line Manager Telephone Number*
Line Manager Email*

Senior Manager

Who should we contact for matters related to the contract with CISAS and stage two compliance matters?
Senior Manager Name*

First NameLast Name
Senior Manager Job Title*
Senior Manager Telephone Number*
Senior Manager Email*

Team (if applicable)

If you have a team of people in place to deal with CISAS cases please provide the group details.
Team Name
Team Telephone Number
Team Email*

Accounts Department (if applicable)

Please provide the details of the employee who we should send our invoices to. If not filled, invoices will be sent to the Senior Manager.
Accounts Department Contact Name

First NameLast Name
Accounts Telephone Number
Accounts Email*

Payment Information
For invoice payments: Please select 'yes' in the drop-down below.
Paying via card: Please select 'no'.
Do you need to pay by invoice?*
Choose "No" for simplified credit card billing.
Purchase Order (PO) Number
Company Logo*

Please upload your company logo. Accepted file types: jpg, jpeg, png.
Cancelof
Brand(s) Further Information
Additional information - Please provide any additional information you wish.
Contract information: next steps
Card payments: If you have chosen to pay via card with simplified billing above, you will be directed to our payment portal upon form submission, and will receive the contract following payment.

Invoice payments: You will receive an invoice in your email in the next hour upon form submission, and will receive the contract once payment is confirmed by us.

To view an example of the CISAS Contract please click here. You will be sent a contract with your company information pre-populated with the details you have provided on this form. Please read the contract to ensure all details are correct. Once you sign the contract, your subscription will become active.
Please verify that you are human*
Should be Empty:

Case Handler