I have received, read, and understood the Nature and Scope of Advice and agree to proceed on this basis.

I have received, read, and understood the advice provided (including any Statement of Advice, Replacement Advice, Insurance Recommendations, Cover Summaries, and/or Quotes), and have had the opportunity to ask questions.

I have reviewed the attached Quote/s and wish to proceed with implementation of that cover.

I authorise Rory McSweeney (Blueprint Protect) to arrange, apply for, and implement the agreed insurance cover on my behalf, including liaising with insurers, underwriters, and relevant third parties as required.

I understand that all insurance cover is subject to insurer underwriting, acceptance, and the final terms offered.

Where replacement of existing insurance has been recommended, I confirm that the reasons for replacement, and the risks and implications involved, have been explained to me and I understand these.

I acknowledge that disclosure information (including remuneration and any conflicts of interest) has been provided. I consent to my personal information being collected, used, and disclosed to insurers and other relevant parties for the purposes of implementing this advice.

I confirm that I have been made aware of my duty of disclosure, that I must tell the insurer anything I know, or could reasonably be expected to know, that may affect their decision to insure me and on what terms. I have had the opportunity to review my application and confirm that all information provided is accurate and complete to the best of my knowledge.

I confirm there have been no material changes in my health, occupation, financial position, or other relevant circumstances that would affect the advice provided since it was issued.