Online PTI/ Partner Registration Form:

Complete this form on behalf of your client making note of required service and price agreed and a PTI representative will contact your client by phone shortly. All information submitted with this document will remain confidential.

A. Service required:
Pre Purchase Tax Report

Price quoted

Tax Filing

Price quoted

Tax ID Number

Price quoted

Mortgage Service

Price quoted

Signatory Service

Price quoted

B. Personal Details
Name:*

Country of Residence:*

Telephone Number:*

Mobile Number:

Best time to call:

Email Address:*

Nationality

C. Investment Property Details: (Pre Purchase Report/ Tax Filing and Tax ID)
Country of Investment Property:*

Date of Purchase:	DD/MM/YYYY

Purchase Price:	EUR

D. Mortgage Details:
Amount looking to borrow:

First time finance

Re-mortgage

E. Sales Agent Details:
Name:*

Branch:

E-mail address*

Additional information: