Northern Ireland Co-Ownership Housing Association

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Title^*
First Name^*
Surname^*
Email Address^*
FSA Individual Reference No^*
FSA Group/Network number^*
Company Code
Job Title^*
Organisation Name^*
Organisation Type^*
Address Line 1^*
Address Line 2
Address Line 3
Postcode^*
Business Phone Number^*
Mobile Phone Number^*
Business Fax Number^*
What is your main job function?^*
If you advise the public on financial products, please indicate how often you write business for
Mortgages (general)	Mostly Often Sometimes Never
Mortgages (sub prime)	Mostly Often Sometimes Never
Mortgages (buy-to-let)	Mostly Often Sometimes Never
Life assurance	Mostly Often Sometimes Never
General insurance	Mostly Often Sometimes Never
Other financial product(s)	Mostly Often Sometimes Never
Do you give independent financial advice?^*	No Yes
If you are an IFA, which best describes the organisation you work for?
Are you a member of an IFA network?^*	No Yes
Which one?
How many people work at your office address?^*

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