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Thank You For Completing Our Survey

 

Here at April Medibroker we are committed to providing excellent customer service to both new and existing clients. We are continually looking at ways of improving and extending our services and the best way we feel we can do this, is by listening to you!

 

We have recently introduced a rewards scheme for any recommendations you make. If by your introduction, one of your friends or colleagues purchases a plan through us, as a token of our appreciation we will send you a free Apple iPod Shuffle. There is no limit on the number of iPod’s you can receive, so please keep recommending us to receive your free gift(s).

 

Have Your Contact Details Changed?

If your contact details have changed, please take a moment to complete the Contact Form below so that we may update our records:

 

1 - Policy Holder:

Title  * :
First name  * :
Last name  * :
Date of birth DD/MM/YYYY  * :
 /   / 
Policy Number(s)  :

2 - Residential Address Details:

Address 1  :
Address 2  :
Town/ City  :
State / Province / County  :
Post/ Zip code  :
Residential Country  :

3 - Mailing Address Details (If different from above):

Mailing Address 1  :
Mailing Address 2  :
Mailing Town/City  :
Mailing State/ProvinceCounty  :
Mailing Post/Zip Code  :
Mailing Country  :

4 - Contact Details:

E-mail address  * :
Confirm email address  * :
Alternative E-Mail Address  :
Daytime Telephone Number (Home)  :
Daytime Telephone Number (Work)  :
Mobile Number  :
Fax  :

5 - Submit Your Updated Details:

Please provide the answer to this question
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Use of your information will solely by used by APRIL Medibroker and any personal information will remain confidential within normal procedures in advising on and completing applications for private medical insurance and associated plans. Your information will not be disclosed to any third parties outside of APRIL GROUP or used for unsolicited marketing.

 

 

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APRIL Medibroker Limited is regulated in the United Kingdom by the Financial Services Authority. Our regulated Firm number is 304773. Full details can be found on the FSA Register You can contact the Financial Services Authority (FSA) at: 25 The North Colonnade, Canary Wharf, London E14 5HS. You can also call their Consumer Helpline on 0845 606 1234. Additional information can be obtained from www.fsa.gov.uk - © 2010 APRIL Medibroker Limited. All rights reserved.