Register / Contact Us

Black Book-registered introducers gain unrestricted access to all available products and services, and will swiftly receive key updates on products, services and developments within the finance industry.

Complete the form below to register with Black Book today.

Your Name*

First Middle Last

Previous full name (*If Applicable)

Residential Address*

Street Address Line 2 City County Post Code Country

Time at this address*

Previous Residential Address

Street Address Line 2 City County Post Code Country

We need your address history for the last 5 years. Please add any other previous addresses below...

Previous Residential Address (*If Applicable)

Street Address Line 2 City County Post Code Country

Previous Residential Address (*If Applicable)

Street Address Line 2 City County Post Code Country

Previous Residential Address (*If Applicable)

Street Address Line 2 City County Post Code Country

Date of Birth*

Nationality*

If non-EU, Work Permit Number

FCA Number (*If Applicable)

If FCA Registered, do you have sufficient PI cover to meet FCA regulations?*

If you are Appointed Representative, of which Network are you a member?

Company Name (If applicable)

How (or from whom) did you hear about Black Book Finance?

Please confirm how you typically source/obtain your clients/propects*

Have you (or any company of which you were a director) ever been removed from any lender's panel?*

Please provide details

Have any complaints ever been made and/or upheld against you personally, or against any Company where you were a Director?*

Please provide details

Any other details of which Black Book Finance should be made aware of before accepting your introductions?

Company Information (*If Applicable)

Company Name*

Company Address*

Street Address Line 2 City County Post Code Country

FCA Number (*If Applicable)

Company Phone*

Email*

Website Address

Other Trading Name/s (*If Applicable)

Terms & Conditions*

I have read and agree to the T&Cs and in particular to the data protection clause stating that Black Book Finance Ltd (BBF) will become the Data Controller responsible for client data received for the purpose of pursuing a loan application under the terms of this agreement. By ticking and accepting BBF’s T&Cs you are confirming and consenting that you have your clients’ consent to permit BBF to use your clients data, and give permission for BBF to carry out an online Identification check on yourself and your company. You understand that this in no way affects your own responsibilities as an Intermediary under DPA and GDPR.

REGISTER WITH BLACK BOOK

Company Information (*If Applicable)