To register for the
Advantage
Quote
service from Paymentcare simply complete and submit this form to our administration team .
Name :
Surname :
Company :
Address :
Postal Code :
Phone :
Fax :
Mobile :
Leave empty if none
Email :
Prefered method of referral :
Online Form |
Fax Form
Commissions are paid electronically. To ensure prompt payments, please provide the following information:
Account holder name :
Account number :
SORT code :
Maximum 6 characters
Agent type :
IFA |
Mortgage Introducer |
Tied Agent |
Estate Agent | Other :
Average number of mortgages completed\month :
Choose password :
Required to access stats.
Retype password :
I hereby apply to Paymentcare to use the Advantage Quote Service and I confirm that the information supplied by me in connection with this application is correct to my knowledge and belief.
Please accept that you have read and agreed to our TERMS AND CONDITIONS by ticking this box.
Click
Here
to to Read Terms And Conditions.
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