Mortgage Advisor Referral Form

Data protection regulations have changed, therefore before we send your details over to our approved mortgage advisers we need your formal consent. Here is a link to our privacy policy and by completing the below form this allows us consent to pass these details over.

Here is a link to our privacy policy page, any questions please do ask

www.votta.co.uk/privacy-policy/

Client Name 1 *

Title

First Name

Last Name

Client Name 2 (if applicable)

Title

First Name

Last Name

Email *

Email 1

Email 2 (if applicable)

Address *

Street Address

Street Address Line 2

Town/City

County

Postcode

Contact Numbers *

Contact Number 1

Contact Number 2 (if applicable)

How to get in touch *

Are you happy for us to contact you on both phone and email?
YesNo

If no, please advise:

Current Situation *

Please give information on your current situation (e.g. Do you have an existing mortgage/buy to let mortgage or are you a first time buyer / buying to let):

Which Votta staff member were you referred by?