Become an AgentBase Accredited Agent (AAA)

All you need to supply is 3 references each from principals and customers. It might be a good idea to ask their permission or at least let them know that you have nominated them as referees so that it doesn't come as a complete surprise when we contact them. We will contact them all.

You will also need to be able to show that your relationship with at least one customer and at least one principal has been in place for a year or more.

We will also check that you are a fully paid up member of AgentBase.

AAA Application Form

Your Details
First Name:	*required
Second Name / Surname:	*required
Address 1:	*required
Address 2:
Town/City:
Postcode:	*required
Tel:	*required
Mobile:
Email address:	*required
How long have you been an agent?
Are you a member of AgentBase?	Please note that you MUST be a current member of AgentBase in order to apply for AAA status. > Register as a Member of AgentBase

Principal References
What is a principal? As far as we are concerned this is a business that you have acted successfully for as a self-employed, commission-only sales agent, either now or within the last 3 years. NOT a current or former employer.
Please provide 3 in the spaces below (All fields must be completed fully).

Principal Reference 1
Principal Company Name:	*required
Contact Person:	*required
Title / Position:	*required
Phone Number:	*required
Email Address:	*required
Full Postal Address:	*required
How long as a principal?	*required

Principal Reference 2
Principal Company Name:	*required
Contact Person:	*required
Title / Position:	*required
Phone Number:	*required
Email Address:	*required
Full Postal Address:	*required
How long as a principal?	*required

Principal Reference 3
Principal Company Name:	*required
Contact Person:	*required
Title / Position:	*required
Phone Number:	*required
Email Address:	*required
Full Postal Address:	*required
How long as a principal?	*required

Customer References
What is a customer? As far as we are concerned this is a business or individual to whom you have successfully sold products or services to, on behalf of your principals, in the capacity as a self-employed, commission-only sales agent, within the last 12 months.
Please provide 3 in the spaces below (All fields must be completed fully).

Customer Reference 1
Customer Company Name:	*required
Contact Person:	*required
Title / Position:	*required
Phone Number:	*required
Email Address:	*required
Full Postal Address:	*required
How long as a principal?	*required

Customer Reference 2
Customer Company Name:	*required
Contact Person:	*required
Title / Position:	*required
Phone Number:	*required
Email Address:	*required
Full Postal Address:	*required
How long as a principal?	*required

Customer Reference 3
Customer Company Name:	*required
Contact Person:	*required
Title / Position:	*required
Phone Number:	*required
Email Address:	*required
Full Postal Address:	*required
How long as a principal?	*required

We accept Visa, MasterCard, Switch, Delta, Connect, & Solo. (We do NOT accept Amex or Diners). Payment can also be made by cheque to: AgentBase
CardType:	*required
Name on Card:	*required
Card No:	*required
Expiry Date:	/ MM / YY *required
Issue No (if Switch):
Valid From / Start Date:	/ MM / YY
3 digit Security Code:	*required

Your card will be debited £50 +VAT. Your receipt will be posted along with your VAT invoice immediately.

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