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Apply to become an intermediary with us

To apply to become one of our intermediaries, please contact us and a member of our team will be in touch to manage your application.

Registration

Call us: +44 (0) 1273 866 385 open 9.00-17.00 Monday to Friday UK time, excluding bank holidays
Email us: brokercontracts@bupa-intl.com
Ask us to call you back - complete the form below

Contact me about becoming an intermediary

All sections marked with a * must be completed.

First name *
Family name *
Company *
Website address
Bupa UK Mis number (if you have one)
Insurance regulator and registration number
Country
Telephone number *(Including area code but not country code)
Ext
Email *
When would you like to be called?

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