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IFA Registration

To register your interest in Ascentric or set your firm up to use the platform please complete the registration form below.

Firm Details
Firm Name:	*
Address 1:
Address 2:
Address 3:
Address 4:
Address 5:
County and District	Bedfordshire Berkshire Bristol Buckinghamshire Cambridgeshire Channel Isles Cheshire Cornwall and Isles of Scilly Cumbria Derbyshire Devon Dorset Durham East Sussex East Yorkshire Essex Gloucestershire Greater London Greater Manchester Hampshire Herefordshire Hertfordshire Isle of Man Kent Lancashire Leicestershire Lincolnshire Merseyside Middlesex Norfolk North Yorkshire Northamptonshire Northern Ireland Northumberland Nottinghamshire Overseas Oxfordshire Scotland Shropshire Somerset South Yorkshire Staffordshire Suffolk Surrey Tyne and Wear Wales Warwickshire West Midlands West Sussex West Yorkshire Wiltshire Worcestershire
PostCode:
Website: (http://)
Firm FSA Number:
Firm Legal Status:	Partnership Private Limited Company Private Company Sole Trader
Number of RIs:
Number of Employees:
Your Contact Details
Title:	Dr Miss Mr Mrs Ms Lord Sir *
First Name:	*
Last Name:	*
Job Title:	*
Contact Email:	*
Password:	* Required if you wish to amend your details in the future.
Confirm Password:	*
Contact Telephone:
Contact Mobile:
Firms Income:	Please choose... Less than £0.5m £0.5m - £1m £1m - £2m £2m - £4m Greater than £4m
Assets under influence:	Please choose... Less than £50m £50m - £100m £100m - £200m £200m - £400m Greater than £400m
Which best describes your present attitude with respect to Wrap?	We need to know more about Wrap Accounts and what's on offer. We know enough about Wrap Accounts but need to select one. We know enough about Wrap Accounts and now want to sign up with Ascentric.
If you choose 'c' above then select your preference:	Please send me the IFA Set-up Pack and call me to guide me through set-up. Please send me the IFA Set-up Pack and call me to arrange a date to come to my offices to present the process.
Where did you hear about Ascentric:	*
Any additional information::
Ways we can contact you	Email   Phone   Fax   Post      Sign me up for the FREE monthly IFA bulletin
Before submitting this form, please type the color of the third character displayed above

© Ascentric/ Investment Funds Direct Ltd 2004 - 2010 Ascentric is a trading division of Investment Funds Direct Limited which is part of the Royal London Group and authorised and regulated by the Financial Services Authority (No. 114432). Registered Office: 9 Palace Yard Mews, BATH BA1 2NH, Telephone 0845 600 5360. Registered in England and Wales with Company Registration number 1610781. VAT number 368524427. We may record telephone calls.

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