FLM Loans - Registration Form

To apply as an Introducer for FLM Loans please complete the following application form and a member of our support team will contact you shortly.

Items marked with an asterix (*) are mandatory

Contact Details:

Full Name: *

Email: *

Mobile: *

Telephone: *

Fax:

Position: *

Trading Details:

Company Name: *

Trading Names:

Building Name/No.:

Street:

Locality:

Town:

County:

Post Code:

Telephone:

Fax:

Web Site:

Details of Licences:

Consumer Credit Licence Expiry Date (DD / MMM / YYYY):

/ /

Consumer Credit Licence Registration Number:

Data Protection Registration Expiry Date (DD / MMM / YYYY):

/ /

Data Protection Registration Number:

Company Details:

Companies House Registration No.:

Building Name/No.: *

Post Code: *

General Information:

Are you FSA authorised? No Yes *

If yes, FSA Ref. No.:

How many applications do you forsee sending per week?

Additional Comments:

Submit Application:

© 2008 FLM All rights reserved.
FLM and FLM Loans are trading names of Financial Processing UK Ltd.
Registered in the UK, number 4841153.
Registered Address: Walton House, 56 - 58 Richmond Hill, Bournemouth BH2 6EX.
Registered with the Information Commissioners Office Z8738456.
Consumer Credit Licence Number 557709

FLM Loans - Your Unsecured Lending Solution

Email: brokers@flmloans.co.uk

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