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Agency Application Form
Please fill in the form below, then click on the 'Send Application' button.
*
Denotes Required Field
Company
*
Trading Name
(if different)
Type Of Organisation
*
Please Select
Limited Company
Partnership
Sole Trader
Other (specify below)
Date Firm Established
*
Company Registration Number
*
Names Of All Principles, Partners or Directors
*
Principle Trading Address
*
Postal Code
*
Contact Name
*
Telephone Number
*
Fax Number
Office E-mail Address
*
Website Address
Head Office Address
(if applicable)
Postal Code
Contact Name
(head office)
Telephone Number
(head office)
Fax Number
(head office)
E-mail Address
(head office)
Do You Belong To A Professional Association
Number Of Branches
*
Number Of Properties Listed
*
Agency Type
(tick one)
*
Please Select
Estate And Letting Agent
Estate Agent
Do You Offer Mortgage Facilities?
*
Please Select
Yes, Mortgage Facilities are offered
No, Mortgage Facilities are not offered
Do you have Internet Access Via:
*
Please Select
Modem (dial-up)
ISDN
Broadband
Do You Have A Credit Consumer Licence
*
Please Select
Yes (please enter licence number below)
No
Introduced By
(if applicable)