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Description
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Welcome

Welcome to our online agent registration process. This form allows you to gain instant access to the agent versions of our products.
To continue, click 'next' at the bottom of this page.
If you are having difficulties, phone us on 01273 477784

Initial Questions

Do you have a current agency number with Berkeley Alexander?
Current agency number

FSA Status

FSA Status
Your Principle's FSA Number (FRN) [?]
Your FSA Number (FRN) [?]

Information: If you don't know your FSA number, you could look it up on the FSA's website.

Firm Details

Company Name
Building Name / Number
Street Name
Town
County
Postcode

Contact Details

Contact Name (for administration purposes)
Telephone Number
Fax Number (Optional)
Email Address
Confirm Email Address

Information: The email address you enter here will become your login ID.

Keeping in Touch

Notify me of activity on this agency such a policy going on risk or being cancelled
Notify me of any product changes that may be relevant to this agency
Notify me of any general announcements that may be relevant to this agency

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Berkeley Alexander Ltd is Authorised and Regulated by the Financial Services Authority (FSA). (Reg No. 307388)
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