Register - LMS Select

Broker Register

Registering as a new user couldn't be easier - simply complete and submit the form below.

Once we receive your form we will register you by the end of the next working day. You will then receive log on details for use whenever you instruct a new case. This password will be unique to you and you will need it to gain secure access to many parts of the system.

Registration form: * indicates compulsory fields

Title: *
First Name: *
Last Name: *
Company: *

Address:	*
District:
Town:	*
County:
Postcode:	*

Telephone: *
Mobile:
Email: *
How did you hear about LMS Select? *
Business Type: *
Please select your affiliated introducer/network (leave blank if not applicable)
FCA Number:

Are you VAT registered?YesNo *

If you are VAT registered your fee per completed case will be made with VAT added.

What is your VAT Registration number?

For your extra security can you please supply the following security Question and Answer.

Security Question: *
Answer: *

Please note that our LMS Introducer/Broker: Select/Marketplace Terms will govern your use of LMS Select/Marketplace and registration as a broker with LMS. Tick here if you accept these Terms and agree to be bound by them.

Self Billing Agreement

To allow us to pay you your referral fees, please print, sign and post a copy of this PDF form to:

Finance Team,
LMS,
Aldford House,
Lloyd Drive,
Cheshire Oaks Business Park,
Cheshire,
CH65 9HQ Download

Not sure what to complete or where to sign?

Everyone needs a little help sometimes so download our support guide that will help you complete the self billing form in no time.

If you have any problems downloading this form, please email salessupport@lms.com