Declaration:
I agree this proposal shall be the basis of the contract between myself and RFG Wealth and declare that the particulars in this proposal are true and complete and that I have not withheld any material information.
I consent to the collection, processing and storage of my personal information by RFG Wealth and I confirm that the information is supplied voluntarily, without undue influence from any party and not under any duress.
I understand that third party service providers appointed by RFG Wealth may require access to my personal information and I consent to my personal information being shared.
I undertake that any vehicle(s) to be insured will not be driven by any person who to my knowledge has been refused any motor vehicle insurance, continuation thereof or had any special terms imposed.