What we do
Contact State registration
Please fill in this form and our compliance team will come back to you
The best phone number to reach you on about this registration
Contact LinkedIn URL
The full URL to your LinkedIn profile
Companies house number
Registered trading address
When did you start trading? e.g. March 2017
Comma separated list of directors names
What is your annual turnover?
Are you already an IAR or AR of another firm or Directly Authorised?
Yes - IAR
Yes - AR
Yes - Directly Authorised
If yes please detail here
FCA registration number
ICO registration number
Has a company director of this business ever been fined, censured or been the subject of a FCA, ICO or ASA complaint?
If yes, please detail below.
Are you already integrated with Contact State?
Please check the box if you are integrated
Landing page URL's
All of the landing page URL's you use to generate leads
Type of advertising used
e.g. PPC, Native, Email, Social
If you use email, please detail your approach to email marketing, data ownership and third party suppliers
What other products do you generate leads for?
I agree that Contact State can contact me to discuss this application
We'll get in touch within 48 hours Mon-Fri. We'll never sell your details or spam you. View our