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Firm Name

Office

Title

First Name

Last name

Phone

E-Mail Address

Password

Your password must be at least 8 characters long; contain letters, numbers, and symbols; contain upper- and lower-case; and not appear in databases of compromised passwords.

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By ticking this box, I confirm that I have read in full, and agree to, the Terms & Conditions

By ticking this box, I confirm that one of the following three options applies to me and/or my firm:

I and/or my firm are directly regulated by the Financial Conduct Authority (FCA); OR
I and/or my firm are exempt from the requirement for direct Financial Conduct Authority (FCA) authorisation under Section 327 of the Financial Services and Markets Act 2000 (FSMA); OR
I and/or my firm are carrying out a regulated activity other than by way of business in accordance with Section 22 of the FSMA, and that I and/or my firm do not receive any remuneration of any kind which for the avoidance of doubt includes but is not limited to charging fees to or receiving any form of commission from a client for arranging insurance on their behalf

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Registered Office

Trading Office