Thank you for taking interest in B3i's latest product, B3i Reinsurance. We will use this form to gather information about you to proceed with a free trial of B3i Re within our demo environment.

Please complete the following form and a member of our team will be in touch shortly.

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* 1. Your company's name as registered (the "Participant")

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* 2. First name

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* 3. Last name

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* 4. Job title

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* 5. Your work email address

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* 6. Country

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* 7. Your phone number
Please include the international dialing code (e.g.: +41)

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* 9. What type of insurance do you specialise in?

By clicking the "Accept and Submit Form" button on behalf of the Participant (as indicated by you above), the Participant and B3i Services AG, Zurich, Switzerland ("B3i") are entering into and bound by these Terms and Conditions ("T&C"). These T&C govern the testing and evaluation of B3i's application for reinsurance trading (B3i Re) by the Participant. The Participant and you represent to B3i that you have the authority to enter into these T&C on behalf of the Participant.

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