| Affiliate Agreement | |
| Details of Affiliate | |
| Affiliate's Name | |
| Registered No. Note: for limited companies only | |
| Address | |
| Tel No: (landline & Mobile) | |
| Fax No: | |
| Email Address: | |
| Web Address: | |
| Advertising Options (please select) | |
| BFX Group banner Advert and info for your site | |
| BFX Group marketing Email to send to client bank | |
| Do you want to advertise free of charge on the BFX Group website? |