TheHIPSoftware.co.uk

Agent Registration

You will need to complete a separate application for each branch you wish to have registered
UserName	:
Company Name	:
Trading Name (if different)	:
Referred By	:
Company Status	:	Limited Partnership Sole Trader Other
Company Registration Number (if applicable)	:
VAT Registration Number (if applicable)	:
Registered Address (if applicable)	:		Postcode	:
Names of all principals, partners or directors	:
Branch Address	:		Postcode	:
Contact Name	:
Telephone (including STD)	:
Fax	:
Email	:
Web Site	:
Head Office Address	:		Postcode	:
Contact Name (Head Office)	:
Telephone (Head Office)	:
Fax (Head Office)	:
Email (Head Office)	:
Which Professional Bodies Are You Members Of?	:
Number of Branches	:
Estimated Monthly "HIP" Requirement	:
What is Your Consumer Credit License Number?	:
Estate Agent/Builders?	:
Agreement	:	I confirm I have read and agree to the Terms and Conditions