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Associate Membership Application
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Email
*
Your email
Company Name
Your answer
Company's address
*
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Company Biography for the Website (up to 100 words)
Your answer
Primary Contact (name)
Your answer
Primary Contact (telephone)
Your answer
Primary Contact (email)
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Add emails for those who you would like to add to the Insurtech UK members mailing list
Your answer
Accounts Department (Name)
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Accounts Department (Email)
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Which level of associate membership are you applicable for?
£1,000 (for companies with turnover below £25m)
£2,500 (for the companies turnover between £25m and £100m)
£5,000 (for the companies turnover over £100m)
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