Ausloans — Referral Account Registration

Account details

ABN *

Business Name *

Trading name is the same as the business name

Business Address *

Primary contact

First name *

Last name *

Phone *

Email *

Commission Structure *

Referral Type *

Assigned Broker *

Other referral agreement notes

Is the director the primary contact? * Yes No

Agency Partner accounts must capture each agent, including photo ID (front & back) or a “to be supplied” flag.