Independent Mortgage & Insurance Advisors Independent House 11 Hamilton Road Bangor BT20 4JP Northern Ireland

Please use this form if you would like us to contact you regarding a Mortgage, Insurance or Co-Ownership All advice given is Independent. Tel: 028 914 50000  Fax: 028 91 467550 It is our intention to respond to all calls within 24 hours All information is treated with the strictest confidence Your Details.   Name: Address: Email: Telephone (Home): Telephone (Business): Telephone (Mobile): Comments: Enquiry Type: Please Choose One Mortgage Advice Remortgage Advice General Investment Advice Independent Financial Advice Co-Ownership Details Other

Independent Mortgage & Investment Advisors and Independent Mortgage & Insurance Advisors are both Trading Styles of IMIA Limited, which is Authorised & regulated by the Financial Services Authority.