Employer Registration Form

Registration as an Employer for any of our Gemelli Employee Benefit Schemes
To register as an Employer for any of our Gemelli Employee Benefit Schemes please complete the form below. If you have any questions regarding registration please do not hesitate to contact us.

Please ensure you have read and understood the terms and conditions.

Employer Registration Form

Contact Name: *

Position / Job Title:

Email: *

Telephone:

Company Name:

Address:

City:

Postcode:

Fax:

Company Registration Number:

PAYE Ref Number:

Total Number of Employees:

Payroll Run Date:

Pay Date:

Payroll Contact Email Address:

Purchase Ledger Contact Email Address:

Invoice Payment Method:

Direct Debit

Standing Order

BACS

Cheque

Please Regsister our Company for the Following Schemes:

Childcare Vouchers

Bus to Work

Cycle to Work

Staff Parking Scheme

Health Screening

Save as you Learn

Please send me further information reference::

HR Services

Payroll Services

Pensions

Health Cash Plan

Employment Law Services

Health and Safety Issues

How did you hear about Gemelli Employee Benefits?:

Employee

Recommendation

Internet

Other

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