Registration Form
Company Name:
*
Company Address:
*
Post Code:
*
Telephone:
*
Fax No:
*
Company E-Mail Address:
*
(this will be your login)
Please choose a password:
*
Please confirm password:
*
Mobile No:
Company Structure:
*
PLC
Limited
Partnership
Sole Proprietor
Other
Contact Name:
*
Intermediary Type:
*
Mortgage Broker
Insurance Broker
I.F.A.
Packager
Other
Mortgage Club Member:
F.S.A No:
Expiry Date:
ie. 02/02/2005
CCA Licence No:
*
Expiry Date:
*
ie. 02/02/2005
P.I.I. No:
Limit (£):
Date Protection Reg. No:
Expiry Date:
ie. 02/02/2005
Company Bankers:
Bankers Address:
I/We understand that in making this application for a mortgage/loan facilities to HMC Funding that they may be required to disclose the above details to their lenders. I/We also understand that they and or their lenders may wish to undertake searches with credit references agencies and other organisations and our agreement to these searches is expressly given. Certain lender full rebate commission in the event that the customer(s) settles their account or default on their repayments during the first 6 months of the agreement. We understand that in such events I/We will refund the monies if requested to do so to HMC Funding. I/We accept that in granting mortgage/loan facilities that I/We are the agents of the client and not HMC Funding or the lenders.
Please submit the registration form:
