1. If you are interested in developing an agency with KGM, please complete and submit this form and we will contact you as soon as possible. Should you have any queries or need help with completing the form, please contact us Monday to Friday 9.00am to 5.00pm on 0345 456 5758 or email us at
REG Membership
  1. We require that all our new UK brokers join REG which allows us to complete our due diligence quickly and efficiently. REG also allows us to exchange TOBAs and any future addenda electronically. REG is completely free to join and use for our brokers. Please go to to set up an account if you do not already have one – this will only take a couple of minutes.
About You
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Your Company
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  2. Head/Registered Office Address
  3. Accounts Contact Information
Your Product and Systems Information
  1. Please tell us approximately how many policies and the total £GWP you have in each category. This is not mandatory but it will help us understand how we can best help you.
Terms of Business Agreement
  1. If your application is successful, a Terms of Business Agreement will be forwarded to you via REG to sign and return. We are unable to process any business until we are in receipt of this agreement.