Business Information

Please provide below as a percentage of where your business will be derived from
Introducers0
Client Retention5
Client Referrals45
Purchase of Leads0
Other (please provide details of source)50
Introducers – if you have provided a percentage above for introducers, please provide the following:
Name of Firm/individual
Will they be referring protection business
Will they be advertising your services
Please provide details of ALL companies where you have been a director, company secretary or shareholder. If the company has dissolved, please provide full details including the reason for dissolution and if there was any debt as a result of this. If N/A, please state.
Please provide details of any other business interests (if N/A, please state)Networking Events, Word of Mouth from family and friends, Social Media Engagement.
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