Pay for Club Premises Certificate – Grant/Variation Fees First Name Last Name Name of Premises What is the Premises Address? Postcode For example, SA11 2GG Please select the address I can't find my address in the list Address Line One Address Line Two (Optional) Address Line Three (Optional) Town County License Number (Optional) This should be located on your Premises License certificate. Amount Please select an option Grant/Variation of Club Certificate - Band E - £635.00 Grant/Variation of Club Certificate - Band D - £450.00 Grant/Variation of Club Certificate - Band C - £315.00 Provisional Statement - £315.00 Grant/Variation of Club Certificate - Band B - £190.00 Grant/Variation of Club Certificate - Band A - £100.00