Web - renewal form

Please use this form to indicate if you wish to renew your web licence or not. We will contact you after you fill in the form.

Organisation name *
Current Licence ID *	If your licence id is given by WB-1234, please fill in the numerical characters 1234.
Does your Admin Contact change for your new contract? *	Yes No
Name of the new Admin Contact
Email of the new Admin Contact
Does your Finance Contact change for your new contract? *	Yes No
Name of the new Finance Contact
Email of the new Finance Contact
Name of the person signing the new licence *
Email of the person signing the new licence *
Other Relevant Information
Captcha *
Jira key as text
Jira key	Start typing to see the options...

Organisation name *
Current Licence ID *	If your licence id is given by WB-1234, please fill in the numerical characters 1234.
Your name *
Your email *
Do you have any feedback/comments
Captcha *
Jira key as text
Jira key	Start typing to see the options...

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