Sales Agent Application

Applicants are required to provide the following information which will be held on BTN's database subject to confirmation of acceptance. If an applicant is unsuccessful, then the information provided will be deleted.

Your Details

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Please enter your date of birth in the format DD/MM/YYYY
Note: All applicants have to be over the age of 18

Referring Agent's Details

If you have been introduced to this opportunity by an existing agent of BTN, please enter their name and code number (if available) in this section.

The information provided in this application form will remain confidential and not be passed to any third party company