Register With Salary Exchange

To register as a childcare provider with Salary Exchange please complete the form opposite and click Register Now.

The fields marked are * mandatory and must be completed.

Once we have received you application to register with us we will contact you to confirm your details and to arrange the method of payment for childcare vouchers.

This information is held is the strictist confidence and will not be passed on to any third parties. You can review our privacy policy here.

User Name
*
Password
*
Confirmation
*
Carer Name
*
Contact Name
*
Phone
*
Email
Website
Address Line 1
*
Address Line 2
Address Line 3
City
*
County
Postcode
*
Bank
*
Branch
*
Sort Code
*
Account Number
*
Account Holder
Registration Body
*
Registration Number
*