PARTNER Program - Request for Terms of Business  
         
  If you do not have a Terms of Business Agreement in place with Charles Stirling International, then please complete this form. Please note that even if you have previously dealt with Charles Stirling International(UK) Ltd. in relation to international structuring or investment business, you will still need to sign a Terms of Business agreement with Charles Stirling International Ltd. IBC  
         
 
Name:
   
         
  Person to Whom Associate Correspondence Should Be Addressed (if different):    
         
   

   
         
 
Company Name:
   
         
 
Company Correspondence Address:
   
         
       
         
       

 
Telephone:
Facimilie:  
         
 
E-Mail:
   
         
 

Website:

    
         
    Number of Years Established:    
         
 
Description of Main Business & Regions:

    
         
 
Type of Regional Licence Held:
   
 
     
  No. of Employees: Annual Commission Turnover:

Names of two other Investment Companies with which you have a Relationship:

1.

2.

Have you previously transacted Business with Charles Stirling International Ltd: YES/NO