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Payment

Policy Number * (e.g. 1234567AB)
Cardholder Name *
Policyholder Name: (if different)
Address *
Town or City *
County *
Postcode *
Country *
Home Number:
Mobile Number:
Email Address *
Where did you hear about Cavendish Online?
  *
*required fields

 

Client Declaration/Execution Only Statement

Please accept this confirmation that I have applied for Immediate Cover Life Assurance with Aviva via Cavendish Online. I have read and understood your Terms and Conditions of Business.

I confirm that I have not sought or received any advice from Cavendish Online in relation to this policy.

I have received a full rebate of the initial commission paid on my policy which has been used to reduce my policy premium. Please therefore accept this written authority to arrange the above plan on my behalf.

Cavendish Online is a Limited Company No. 04045709 and is authorised and regulated by the Financial Services Authority.

Please tick box to confirm you have understood and accept the above declaration.

   

   
22 Cathedral Yard, Exeter, EX1 1HB. Tel: 08456 442544info@cavendishonline.co.ukterms & conditionsPrivacy Policy
Cavendish Online is a Limited Company (No. 04045709) and is authorised and regulated by the Financial Services Authority

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