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insurance broker salesinsurance broker sales
insurance broker sales
insurance broker sales
Registration  
All fields marked* are required.
 
Contact name*
Position*
Contact Tel:*
Contact email:*
   
Company Name*
Address*
Town / City*
County*
Postcode*
   
Company Reg No.
If applicable
Company Tel:   
Company Website
 
Commission income: £   
Premium Income £
No. of Clients
Premises type:  Freehold Leasehold  Portfolio only  
Your company business split:
Commercial %
Personal %
Life / Financial %
Specialist %



Main Agencies where business is currently placed Composites %
Lloyds %
Your current broker system: 
Please list any special schemes, segments or relationships of interest
Do you have other Agents ? * Yes No
Additional information e.g. Buyers you do not wish to talk to.
 
     
   
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Registered at Companies House England Reg. No. 3462686 VAT Reg. No. 714 5058 51 VAT Reg. No. 714 5058 51