Make a Payment HOME ABOUT US SERVICES CAREERS CONTACT US Registered Address: Royal House, Market Place, Redditch, B98 8AA Sales Office: The Anderson Centre, Spitfire Close, Huntingdon, PE29 6XY Telephone: 0333 202 7121 Administration Office: The Quadrant 49 Calthorpe Road, Birmingham, B15 1TH Telephone: 0333 202 7121 Sales Office: The Administration Office: Title: First Name: Last Name: Contact Number: Email: Post Code: Message: SEND COMPLAINTS PROCEDURE KEY FACTS PRIVACY POLICY TERMS OF BUSINESS TREATING CUSTOMERS FAIRLY USE OF COOKIES WEBSITE TERMS OF USE Commitments Protection Limited is Registered in England and Wales CRN 04450200 Regulated and Authorised by the Financial Conduct Authority FRN 307800 Sales Office: The Anderson Centre, Spitfire Close, Huntingdon, PE29 6XY Administration Office: The Quadrant, 49 Calthorpe Road,Birmingham, B15 1TH Tel: 0333 202 7121 Web: WWW.CPLUK.NET Email: admin@cpluk.net

Make a Payment HOME ABOUT US SERVICES CAREERS CONTACT US Income protection First Name Last Name Date of birth Postcode Email address Phone Employed Status --None-- Employed Self-Employed Unemployed Retired Student Other Company Director Household Duties Independant Means Occupation Gross Income £ --None-- 0-£5,000 5-£10,000 10 - £15,000 15 - £20,000 20 - £25,000 25 - £35,000 up to £50,000 £50,000+ COMPLAINTS PROCEDURE KEY FACTS PRIVACY POLICY TERMS OF BUSINESS TREATING CUSTOMERS FAIRLY USE OF COOKIES WEBSITE TERMS OF USE Commitments Protection Limited is Registered in England and Wales CRN 04450200 Regulated and Authorised by the Financial Conduct Authority FRN 307800 Sales Office: The Anderson Centre, Spitfire Close, Huntingdon, PE29 6XY Administration Office: The Quadrant, 49 Calthorpe Road,Birmingham, B15 1TH Tel: 0333 202 7121 Web: WWW.CPLUK.NET Email: admin@cpluk.net

Make a Payment HOME ABOUT US SERVICES CAREERS CONTACT US Accident, sickness & unemployment First Name Last Name Date of birth Postcode Email address Phone Cover Amount: Type of cover? --None-- Level Term Reducing (for mortgage repayment) Whole of life Deferred Period --None-- 30 Day back to day 1 30 Day 90 Day 180 Day COMPLAINTS PROCEDURE KEY FACTS PRIVACY POLICY TERMS OF BUSINESS TREATING CUSTOMERS FAIRLY USE OF COOKIES WEBSITE TERMS OF USE Commitments Protection Limited is Registered in England and Wales CRN 04450200 Regulated and Authorised by the Financial Conduct Authority FRN 307800 Sales Office: The Anderson Centre, Spitfire Close, Huntingdon, PE29 6XY Administration Office: The Quadrant, 49 Calthorpe Road,Birmingham, B15 1TH Tel: 0333 202 7121 Web: WWW.CPLUK.NET Email: admin@cpluk.net