Please enter the name the payment is being made on behalf of.
Please enter the reference number if applicable, this could be obtained from form C102A.
Please enter the date the goods were Imported.
Please enter value of payment in pounds sterling. If making multiple payment types, please enter each one separately by selecting "Add to Basket".
Please include any other relevant information which will assist us in identifying and allocating your payment e.g. C & E officer's name.
Please enter a contact name and phone number which can be used in the event of a query with your payment.
