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1 forms found in the DOM

POST /contact-us

<form class="simple_form new_form" id="new_form" novalidate="novalidate" action="/contact-us" accept-charset="UTF-8" method="post"><input type="hidden" name="authenticity_token"
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  <div class="mb-3 string required form_name"><label class="form-label string required" for="form_name">Your Name <abbr title="required">*</abbr></label><input class="form-control string required" type="text" name="form[name]" id="form_name"></div>
  <div class="mb-3 tel optional form_contact"><label class="form-label tel optional" for="form_contact">Your Contact Number</label><input class="form-control string tel optional" type="tel" name="form[contact]" id="form_contact"></div>
  <div class="mb-3 email required form_email"><label class="form-label email required" for="form_email">Your Email Address <abbr title="required">*</abbr></label><input class="form-control string email required" type="email" name="form[email]"
      id="form_email"></div>
  <div class="mb-3 select required form_message_type"><label class="form-label select required" for="form_message_type">Enquiry Type <abbr title="required">*</abbr></label><select class="form-select select required" required="required"
      aria-required="true" name="form[message_type]" id="form_message_type">
      <option value="" label=" "></option>
      <option value="Our Services">Our Services</option>
      <option value="Feedback">Feedback</option>
      <option value="Complaint">Complaint</option>
    </select></div>
  <div class="mb-3 text required form_message"><label class="form-label text required" for="form_message">Your Message <abbr title="required">*</abbr></label><textarea class="form-control text required" name="form[message]"
      id="form_message"></textarea></div>
  <hr><strong>Please verify that you are human</strong>
  <div data-sitekey="0x4AAAAAAAIyr7b_j9WqXXVj" class="g-recaptcha cf-turnstile" data-action="messages" data-theme="light"></div>
  <noscript>
    <div>
      <div style="width: 302px; height: 422px; position: relative;">
        <div style="width: 302px; height: 422px; position: absolute;">
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          </iframe>
        </div>
      </div>
      <div style="width: 300px; height: 60px; border-style: none;
                bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px;
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        <textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid #c1c1c1;
                  margin: 10px 25px; padding: 0px; resize: none;">                </textarea>
      </div>
    </div>
  </noscript>
  <p>By submitting this form, you agree to give us consent to collect, use and disclose the data you provided for the purpose of contacting you to follow-up with you on your message. If incomplete or inaccurate personal data is being provided, we
    will not be able to provide our response to your submission or to process your request or instruction. To learn more about our data protection policy, please click <a href="?_=%2Fpdpa%23KJWqMdlUlBn4MuMQQhr5yYj6dc9zHA%3D%3D">here</a>.</p>
  <hr><input type="submit" name="commit" value="Submit" class="btn btn-primary btn-block" data-disable-with="Submit">
</form>

Text Content

 * About Us
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   Committee
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CONTACT US

Note: We might have a specific page for your enquiry.

If you're looking for Motor or Travel insurance, please get a General Insurance
Quote or simply fill up this form!

Seeking a career with us? We have a page for you to submit your application.


VISIT US

Synergy Financial Advisers Ltd

229 Mountbatten Road
#03-30 Mountbatten Square
Singapore 398007

Main Line: +65 6654 1888
Fax: +65 6654 1887

Your Name *
Your Contact Number
Your Email Address *
Enquiry Type * Our Services Feedback Complaint
Your Message *

--------------------------------------------------------------------------------

Please verify that you are human



By submitting this form, you agree to give us consent to collect, use and
disclose the data you provided for the purpose of contacting you to follow-up
with you on your message. If incomplete or inaccurate personal data is being
provided, we will not be able to provide our response to your submission or to
process your request or instruction. To learn more about our data protection
policy, please click here.

--------------------------------------------------------------------------------

SYNERGY FINANCIAL ADVISERS LTD

229 Mountbatten Road
#03-30 Mountbatten Square
Singapore 398007
Main Line: +65 6654 1888
Fax: +65 6654 1887
UEN: 201217738K
FA Licence No. FA100050



LINKS

 * Contact Us
 * Travel Insurance
 * Motor Insurance
 * Our Quality Policy (Fair Dealing Commitment)
 * Personal Data Protection Policy (PDPA)
 * Complaints Handling and Resolution
 * Careers

 * OneSynergy Login

 * 


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