Santander Additions Broker Registration

   *I have read and accept the Agreement and confirm I have the necessary authority to enter into this Agreement.

Your details:

Company name: Address Postcode

Your full name: Your position: Telephone: Mobile: E-mail: FSA number:

Enter your Santander ID number

Mortgage Clubs:

Please enter the names of the Mortgage Clubs you use (you must enter at least one)

1 Name
2 Name
3 Name

Commission Payment Details:

Only enter Bank details if you are Directly Authorised. Appointed Representatives will be paid directly from your network.

In order for us to pay commission into your account we will need to take some pertinent details. All data will be sent over a secure server and a SSL Certificated webpage

Bank name		Account number
Bank account name		Sort code

Thank you for registering.

Please submit your completed application form by clicking on the Send button, we will then contact you shortly with your Broker Reference.

 

Office Use Only - Form code	Santander