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Your Details - Step 1

*First Name: *Surname: *Primary Telephone: Secondary Telephone: *Email:

Your Target AREAS - Step 2 (of 3 nearly there!)

*Please indicate which of our standard regions that you target in your agency activities.

Then select your region(s) from the checklist Select as many as needed to reflect the area you cover or are prepared to cover. Please select any and all regions that you cover, even if only partially. Please note that regions are based on postcode areas and not counties. The map shows the counties of the UK with the postcode regions overlaid in yellow. And there is a degree of overlap between some regions.

*Do you cover the UK only or UK & International:UK OnlyUK & International
Further information about your AREA: Please tell us more about the geographical area that you cover. For example anything that you cannot express using our standard categories above.

Your Market Sectors - Step 3 (of 3 - you're on the home straight!)

*Please tick the standard market sectors that you cover, or that you're interested in, below. You may select any and all markets that you cover, even if only partially. (10 max). Further information about your MARKETS:

Tell us anything that you cannot express using our standard categories above.