IWC eForms
All fields marked with a * are required entries
Apply for an AllPay Payment Card 

Please Note:
This form can be submitted online
YOU MUST BE LOGGED IN TO SAVE AND SUBMIT THIS FORM
You are not currently logged in to My Account, however you may
IWCComplete the form and obtain a printout at the end
If you log in you may
IWCPre-populate certain details from your Account
Save your form at any time and complete it later
IWCSubmit your form online.

Apply for an AllPay Payment Card
If you wish to apply for an AllPay Payment Card, please provide us with the following details.
To find out more please visit the AllPay Website
* Business Rates Account No:
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street address
* Town name
County
* Postcode
 Telephone number
(include area code)
Please provide details of where you would like your AllPay Card to be sent to (if different from above):
Recipient's Name
 Recipient's Address:
If you are not submitting this form online, please print it out and hand it in at any of the council offices or send it to:

Revenue Services Division, Council Offices, Broadway, Sandown, Isle of Wight PO36 9EA
Tel: (01983) 823901

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