Registration Form

The attention of operators is drawn to LCCP requirements set out in Social Responsibility Code Provision 6.1.1

http://www.gamblingcommission.gov.uk/for-gambling-businesses/Compliance/General-compliance/ADR/Alternate-Dispute-Resolution-ADR.aspx

Licensees must ensure that information about their complaints procedure is set out in their terms and conditions and that such information includes the identity and contact details of the ADR entity or entities to whom disputes can normally be referred.

Pegasus ADR Service will only consider disputes relating to businesses that have registered with us. However, operators will be allowed to register after the commencement of a dispute, but registration must be complete before Pegasus ADR service will commence its adjudication process.

Registration with Pegasus ADR service

Maybe completed online or downloaded for submission by post. All submissions must be in English.

Company Name (required):

Address Line 1 (required):

Address Line 2:

Town City (required):

County (required):

Postcode (required):

Name of principal contact for ADR purposes (required):

Telephone (required):

Mobile:

Email Address (required):

Is the company in Bacta membership: Yes No

Membership Number:

GAMBLING OPERATOR DECLARATION

I have the authority within my company to request that Pegasus ADR Service register the organisation described in this form.
I agree to the data being stored by Pegasus ADR Service in accordance with the Privacy Policy.
I agree to the Pegasus ADR Terms and Conditions for registration of operators and referral of disputes, and agree that my company and those employed therein will be bound by the terms and conditions.

Please tick the box to confirm that you have read the gambling operator Declaration stated above:

Your Name: Position held in Company: