Intasure

Home page

Where are you based?

Introducer application

Introducer benefits

Property insurance

Holiday Homes abroad

UK Holiday Homes

Training presentations

Order stationery

Marketing support

In-store posters

Letter to your clients

FSA Do's and dont's

Terms of business

Enhance your services and help build your business with intasure.
Fill out the form below to become an intasure introducer. Fields marked with an asterisk (*) are required.

Company details
Applicant's full name *
Trading name (if different)
Introducer number (if applicable)
Recommended by (name)
Type of organisation	Property developer Estate agent Letting agent Property management Other (please specify below)
Date business established *
Company registration number (if applicable)
Names of all pricipals, partners or directors *
Business trading address *





Contact name *
Telephone *	Fax
General email address *
Web site

Head office details
Head office address (if different)





Head office contact name
Telephone	Fax
General email address
To which regulatory bodies / institutions do you belong (please specify)?

UK BANK - Payment details
Bank name
Account name
Account number
Sort code
Bank address






Terms of business
Click here to view terms of business

Application
I have read Intasure's Terms of Business, and would like to become an Intasure Introducer.


If you have any enquiries regarding this form, call us on 020 8274 6756.


	Holiday Homes Abroad
	Property insurance


	UK Holiday Homes
	Property insurance