KENT RELIANCE - Register

Register

To apply to become an approved introducer of Kent Reliance, please complete the form below.

What you will need?

You will need to be registered with the Financial Services Authority (FSA) and provide us with your FSA registration number.


*Fields are compulsory.
Please choose a unique User Name*
Please choose a Password*
Title*
Forename*
Surname*
Address* (including postcode)
Occupation/Profession*
Full company trading name*
FSA registration number*
Telephone number*
Fax number
E-mail address*
Name of parent company/network (if applicable)
Have you placed business with Kent Reliance before?*
Where did you hear about Kent Reliance?
Which sourcing system do you use? (if applicable)

Kent Reliance Building Society DOES NOT share personal information with third parties, except for the purposes of credit checking and in the interests of fraud prevention. Click here to see our privacy policy