Members Annual Subscription 2017

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1 Members Annual Subscription 2017 Membership period from 1 January to 31 December 2017 Company name: Name of signatory: Signed: Date: Name(s) of any subsidiaries/trading companies included within this subscription: If you have merged/acquired another company within the last year, please provide the company name: Please let us know what type of membership you are subscribing to so that we can correctly calculate your invoice: Full Core Membership: Firms based in Jersey who offer financial services, legal or related activity Affiliate Core Membership: a) Firms who offer the above services but are not based in Jersey b) Firms who do not offer financial products, but offer services allied with the finance industry, or have an interest in supporting the industry Core+ Membership - This enhanced membership option gives Members a more prominent listing on our online Member directory, as well as the ability to post current job vacancies and upcoming events to the website. More information can be found at CEO Connect In addition to your Core or Core+ membership, your firm can also take advantage of CEO Connect, a new opportunity for the CEO community to engage in a range of additional benefits. This option is not available to Affiliate Members. More information can be found at.

2 Core Membership Full Membership 2017 Headcount (FTE) Tariff Tick , , , , , , , , , , Trade Association No charge Affiliate Membership 2017 Headcount (FTE) Tariff Tick 51+ 4, , Core+ Membership (In addition to Core Membership) Full Membership 2017 Affiliate Membership 2017* Headcount (FTE) Tariff Tick Headcount (FTE) Tariff Tick , , , , , , ,045 *Please note that there will be a separate charging ,470 structure for Recruitment Firms, so please contact us directly if you would like to take up Core Membership CEO Connect (In addition to Core Membership) Available to companies with Full Membership only CEO Connect Payment method ,000 Bank Transfer ,500 Cheque ,000

3 Details to be displayed on the website Company name: Postal address: Telephone number: +44 (0) Fax number: +44 (0) address: Website: Subsidiary/trading company name 1: Subsidiary/trading company name 2: Please enter a short description of the business activities undertaken by your company and any subsidiary/trading companies. This description will be displayed on your company profile of the Jersey Finance website: Company Name Description Please note that if you opt for Core+ Membership, we will contact you for your extended description and more prominent listing on our Members directory.

4 Please tick the relevant categories to indicate the type of business undertaken by your company and any subsidiaries. Full Membership Key area of business specialisation Company Subsidiary/ Trading co. 1 Accountancy Banking Business/Management Consultants Captive Insurance CISE Listing Sponsors Compliance & Risk Family Office Financial Planning Services Fund Administration and Custody Fund Managers Independent Financial Advisers Insurance International Employee Benefit Administrators Investment Banking Investment Consultants Investment Managers Islamic Finance Law Life & Pensions Marine/Aviation Services Mortgage Brokers Philanthropic Services Private Client Wealth Management Registrars Stockbrokers Taxation Practitioners Trade Association Trust & Company Administration Other (please specify) Subsidiary/ Trading co. 2

5 Affiliate Membership Key area of business specialisation Company Subsidiary/ Trading co. 1 Event Management Human Resources Consultants Information, Communication and Technology Marketing Consultants Media Training Property Development Public Relations Real Estate Recruitment Consultants Relocation Training Provider Other (please specify) Subsidiary/ Trading co. 2 Market Interest In which markets do you have an interest/presence in? Location Africa Asia Greater China Asia - Other Asia South East Asia Channel Islands Europe GCC India Japan Jersey Latin America North America Russia UK Other (please specify) Tick

6 Please provide us with the contact details for the following roles: Contact Details Please complete in full Lead contact: CEO: Marketing Head/Director: HR Head/Director: If you wish to name additional contacts to receive Jersey Finance communications, please list them below. However, all employees of your organisation can have access to our website to view events and locked documents, as well as read and share news, so please encourage them to sign up at Additional Contact Details Name: Job title: Name: Job title: Please return your completed subscription form to: Scan: Fax: +44 (0) Post: 4 th Floor, Sir Walter Raleigh House, Esplanade, St Helier, Jersey, JE2 3QB We will issue your invoice based on the information you have provided.

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