1. Personal Details
Contact Name * Address Line 1 * Address Line 2 * Address Line 3 * Country * Post Code * Date of Birth * Telephone Number * Email Address *
2. Currency Requirements
Name of Hermex broker if known Estimated Volume per year (£) * Reason for buying e.g. buying house * Currency Required e.g USD EUR *
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.