Company Information Applicant company name* Main telephone number* Fax number Website Applicant company registration no. Main address* City* County Postcode* Login Email* Previous 1 2 3 4
Main Point of Contact Full Name* Roll Position Within Firm* Telephone number* Mobile number* Email Address* Office address (if different from company address)* City* County* Postcode* Website Contact (if selected, your details to be listed as a point of contact for NACFB members on the NACFB website) Add additional points of contact if required › Previous 1 2 3 4
Amount Required* Secured Unsecured Business considered (Please tick as appropriate.) Bridging and Short Term Finance Buy-to-let Mortgages Cashflow Finance Commercial Mortgages Development Finance Factoring and Invoice Discounting Leasing and Asset Finance Motor Vehicle Finance Pension Led Finance Residential Morgages Overseas trading and finance Previous 1 2 3 4
Declaration In applying for Patronage of the National Association of Commercial Finance Brokers, we declare and confirm that the information provided to the Association is true. We further declare that there are no circumstances of which we are aware which might adversely affect our application. We agree to supply any additional information as reasonably requested by the Association in support of this application. We confirm and undertake that in the event that we are elected as Patrons we will support the aims and objectives of the Association and the Code of Practice to which members of the Association subscribe. We further undertake to give the Association twelve clear calendar months notice of our intention to terminate our Patronage. I/We have read, and agree to be bound by, the terms and conditions and have read the Privacy Notice set out in this declaration Previous 1 2 3 4