Financial Adviser Registration Form
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1. Tell us about yourself...
		Mr Mrs Ms Miss
	Forename
	Surname
	Company name
	Company address
	Telephone
	Fax
	Mobile
	Email
	FSA number
2. Occupation
	Your current role	Independent Financial Adviser Appointed Representative
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	Your type of business Select as many as you like	Mortgages Unit Trusts / OEICs Equity Release Investment Bonds Protection Trust Planning ISAs Pensions
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	Product providers you use Select as many as you like	Abbey New Life Mortgages Aegon Scottish Equitable Northern Rock AIG Life Norwich Union AXA Partnership Assurance Bridgewater Premier Portfolio Managers Bright Grey Principal Investment Managers BUPA Prudential Canada Life Royal Liver Clerical Medical Royal London Cofunds Royal Skandia Fidelity Scottish Life Friends Provident Scottish Provident Hartford Life Scottish Widows Just Retirement Selestia Keydata Skandia Legal & General Standard Life Lutine Assurance Sterling Assurance National Counties Zurich
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	Top 5 most popular Select only five	Abbey New Life Mortgages Aegon Scottish Equitable Northern Rock AIG Life Norwich Union AXA Partnership Assurance Bridgewater Premier Portfolio Managers Bright Grey Principal Investment Managers BUPA Prudential Canada Life Royal Liver Clerical Medical Royal London Cofunds Royal Skandia Fidelity Scottish Life Friends Provident Scottish Provident Hartford Life Scottish Widows Just Retirement Selestia Keydata Skandia Legal & General Standard Life Lutine Assurance Sterling Assurance National Counties Zurich
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	How did you hear about busyIFA Select one option from drop down menu	Google Financial Adviser Investment Adviser Money Marketing Product Provider Recommendation Other
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	What support staff do you currently have	Administrator Compliance Officer Paraplanner None Office Manager
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	Why do you want to join busyIFA Select as many as you like	Not very computer literate Do not understand research tools Take too long writing client reports Would like more time to see clients Do not have any current support Free up more time for my paraplanner It is a unique offering!
Thank you for applying to be part of the team at busyIFA. We will be in touch to let you know if you application has been successful.
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