Private client registration

1. Your Details
Contact Forename*
Contact Surname*
Address Line 1*
Address Line 2
Address Line 3*
Post Code*
Telephone Number*
Email Address*
Position*
2. Your Currency Requirements
Name of Hermex broker*
Estimated Volume per year (£)*
Reason For Trading e.g. buying property*
Currency Required e.g USD EUR*
3. Declaration
"I/We confirm that we have read, considered and understood Hermex International's Terms & Conditions in their entirety, that I/We understand that these terms will govern all dealings between the Client(s) and Hermex, and I/We confirm that the Client(s) is/are acting on its/their own account and not on behalf of any other person. I/We confirm that the signatory has been authorised to sign the term and conditions on behalf of the Client(s). I/We confirm that the information supplied to Hermex is truthful and accurate."
Tick this box if you do not want your personal information passed on by Hermex to any organisations which Hermex considers may be of assistance to you so that it may contact you with details of its products
Tick this box if you do not want your personal information passed on by Hermex to any organisations located outside the EEA which Hermex considers may be of assistance to you so that they contact you with details of its products and services
Please note that the completion of this document does not commit you or obligate you or you company in any way unless Hermex is specifically instructed to buy or sell currency in accordance with the terms.