Spring 2025 fmiAgent Point Awards Qualified Guest Registration

Congratulations and thank you for your business! Financial Markets Inc is honored to invite you to

set sail aboard the Celebrity Summit with Financial Markets Inc for a 5-night Caribbean cruise!

Saturday, April 5, 2025 through Thursday, April 10, 2025

(All transportation to/from the cruise port and associated costs are the sole responsibility of the qualifying producer.)

Registration due by end of day Thursday, January 23, 2025.

Guest 1 Information

(Booking Producer)

Full Legal Name (as appears on passport)(Required)

First Middle Last

Date of Birth(Required)

Email Address(Required)

Mobile Phone(Required)

May we text you prior to or during the trip to the above number?(Required)

Yes

Before trip only

During trip only

Please note that we will call mobile number if needed, regardless of permission to text, for important updates or emergencies.

T-Shirt Size:

All shirts are unisex/Men's or Youth Sizes where listed

Legal Residential Address (as appears on Passport)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

US Passport Number

Expiration Date

Guest 2 Information

Leave Blank if None. Guests 2-4 are in ADDITION to the booking person.

Full Legal Name (as appears on passport)

First Middle Last

Date of Birth

Mobile Phone

May we text you prior to or during the trip to the above number?

Yes

Before trip only

During trip only

Please note that we will call mobile number if needed, regardless of permission to text, for important updates or emergencies.

T-Shirt Size:

All shirts are unisex/Men's or Youth Sizes where listed

Email Address

Legal Residential Address (if different from Guest 1)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

US Passport Number

Expiration Date

Will you have any children/additional guests in attendance in your room?

Yes

Child/Additional Guest 1 Information*

*all costs associated with additional persons beyond the qualifying producer and one (1) guest are the sole responsibility of the qualifying producer

Full Legal Name (as appears on passport)

First Middle Last

Date of Birth

Mobile Phone

May we text you prior to or during the trip to the above number?

Yes

Before trip only

During trip only

Please note that we will call mobile number if needed, regardless of permission to text, for important updates or emergencies.

T-Shirt Size:

All shirts are unisex/Men's or Youth Sizes where listed

Email Address

US Passport Number

Expiration Date

Child/Additional Guest 2 Information*

*all costs associated with additional persons beyond the qualifying producer and one (1) guest are the sole responsibility of the qualifying producer

Full Legal Name (as appears on passport)

First Middle Last

Date of Birth

Mobile Phone

May we text you prior to or during the trip to the above number?

Yes

Before trip only

During trip only

Please note that we will call mobile number if needed, regardless of permission to text, for important updates or emergencies.

T-Shirt Size:

All shirts are unisex/Men's or Youth Sizes where listed

Email Address

US Passport Number

Expiration Date

Child/Additional Guest 3 Information*

*all costs associated with additional persons beyond the qualifying producer and one (1) guest are the sole responsibility of the qualifying producer

Full Legal Name (as appears on passport)

First Middle Last

Date of Birth

Mobile Phone

May we text you prior to or during the trip to the above number?

Yes

Before trip only

During trip only

Please note that we will call mobile number if needed, regardless of permission to text, for important updates or emergencies.

T-Shirt Size:

All shirts are unisex/Men's or Youth Sizes where listed

Email Address

US Passport Number

Expiration Date

Trip Details

Do you require an ADA accessible room?(Required)

Yes

Please describe ADA accessibility accommodations needed:

Would you like to book an additional room?

Additional rooms and associated costs are the sole responsibility of the qualifying producer. Financial Markets Inc will assist in the booking of additional rooms for qualifying producers.

Yes

We will reach out to you with further details.

Please list any specific requests for this additional room here:

Any additional special requests or comments:

Please note that requests for room upgrades etc. cannot be guaranteed, and any additional costs are the sole responsibility of the qualified producer. Financial Markets Inc will reach out regarding your requests to discuss.

Terms and Conditions

2024 fmiAgent Point Awards trip via Cruise Line trip detail: Dates: Saturday, April 5, 2025 through Thursday, April 10, 2025 Vessel: Celebrity Summit Initial Embarkation Port: Fort Lauderdale, Florida Enroute Destination Ports: Puerto Plata (Dominican Republic) and Nassau (Bahamas) Final Disembarkation Port: Fort Lauderdale, Florida Invited Financial Professional(s) agrees to the following: Agrees to be attentive to Financial Markets Inc communications. Give his/her due diligence to relevant travel warnings. Agrees to take responsibility for completing travel specific duties, including all arrangements and costs associated with travel to and from the cruise ship before, during, and after the cruise. Invited Financial Professional(s) agree to make full payment for their room(s) as noted in this Agreement upon acceptance. Attendance is by invitation or recommendation of Financial Markets Inc. only. Trip qualification is not redeemable for cash or other remuneration. Qualifying Producer and one (1) guest may attend compliments of Financial Markets Inc. Any additional guests and/or expenses incurred are the sole responsibility of the Qualifying Producer; complimentary guest may not be another licensed insurance producer unless they are the spouse of the Qualifying Producer. If more than two persons will be sharing a resort room, all additional/associated costs are the sole responsibility of the Qualifying Producer. Additional incidental costs will also be the sole responsibility of the Qualifying Producer. No refunds will be provided for missed flights or cancelled vacations. No refunds will be provided for any reason. Financial Markets Inc assumes no liability for weather conditions, loss or injury directly or indirectly due to any accommodation or arrangement of the venue. Travel arrangements to and from the trip location are the sole responsibility of the attendees. Qualifying Producer is responsible to make every reasonable effort to assist in making travel arrangements in a timely manner to ensure availability of flights and accommodations. All guests are encouraged to consult a physician prior to the trip to be sure they are sufficiently healthy to travel. Financial Markets Inc does not require or ask any participant to adhere to any vaccine, social distancing, or masking procedures, but as this is a voluntary event, travel restrictions may apply. Financial Markets Inc assumes no responsibility for COVID-19 guidelines, mandates or regulations in place for travel. By checking the consent below, you voluntarily agree to assume all risks and accept sole responsibility for any expense, liability, illness, injury, disability or death related to contracting the virus while in travel to/from or in attendance of this trip. The price of the Cruise covered by Financial Markets Inc includes ship accommodations, ocean transportation, most meals, certain nonalcoholic beverages and most entertainment aboard the Vessel. Unless otherwise provided in this Agreement, the Cruise price does not include air transportation; transfers; optional shore and land excursions; meals and accommodations ashore; certain beverages; photographs; additional gratuities; telephone calls; specialty restaurants, onboard certain vessels; purchases from the ship stores or items of a personal nature, such as medical services, laundry, massages, spa treatments, hairstyling or manicures. Some of these items may be purchased separately. As provided more specifically in the Cruise Line Ticket Contract, departure and arrival times are not guaranteed and any part of the itinerary is subject to delay, and to port of call cancellation occasioned by weather conditions, exigencies of safe navigation, navigation through regulated waters, ports and channels and other causes beyond the control of the Cruise Line and may be changed at any time at the Cruise Line's sole discretion. In the event of a conflict between this Section and the Cruise Line Ticket Contract, the terms of the Cruise Line Ticket Contract shall govern. A copy of the current Cruise Line Ticket Contract is available at the Cruise Line website. Cruise Line will use commercially reasonable efforts to notify (via facsimile, email, consumer website post or otherwise) Financial Markets Inc and Invited Financial Professional(s) of any itinerary changes; provided, however, the Cruise Line and Financial Markets Inc is not responsible for any incorrect facsimile numbers or email addresses, inoperable facsimiles or the lack of receipt of any such itinerary change notice if such notice was sent by Cruise Line to Invited Financial Professional. Invited Financial Professional is also advised itinerary change notices are frequently posted on the Cruise Line consumer website. TERMS AND CONDITIONS: Invited Financial Professional(s) authorizes Financial Markets Inc to book a cruise room with Cruise Line on their behalf. Invited Financial Professional(s) accepts that Financial Markets Inc is NOT responsible for, nor will Invited Financial Professional(s) attempt to hold it liable for any injury, damage or loss suffered for any conditions, actions or omissions that are beyond the reasonable control of Financial Markets Inc. Invited Financial Professional(s) understands when traveling internationally all persons must have a valid passport book. Invited Financial Professional(s) understands a passport card is not valid for air travel. Depending on destination and the origin of Invited Financial Professional(s) passport, guests may need to obtain a visa. Proof of citizenship is required for travel outside the United States. In the unlikely event that a catastrophic situation should occur to redirect or reschedule travel plans and the supplier is unable to provide Invited Financial Professional(s) with the agreed upon travel services and/or products, Financial Markets Inc is not responsible for any damages, economic, social, emotional or otherwise. If Cruise Line is forced to cancel the Cruise due to Acts of God, breakdown of the Vessel, hostilities, blockades, labor conflicts, strikes aboard or ashore, restraint of rules principles or peoples, war, fire, collision, directions of underwriters, arrest, order or restraint by governmental authorities or others (including due to the actions of port officials or government-imposed travel restrictions), acts of terrorism, civil commotions, embargo, weather conditions or considerations of safety of the Vessel (of which the Cruise Vessel Master shall be the sole judge), foundering of the Vessel or breakdowns of or damage to its hull, machinery and fittings, inability to secure or failure of supplies including fuel, requisition of the Vessel, disease, epidemic or pandemic, or other circumstances beyond the Cruise Line’s control (including but not limited to a change in the Cruise Line fleet deployment caused by any of the aforementioned events) (collectively such causes shall be referred to as “Force Majeure Events”), the sole liability of Cruise Line, and/or the Vessel, shall be for a refund of all monies theretofore paid by the Financial Markets Inc to Cruise Line hereunder for all obligations not then performed or for which the Invited Financial Professional has not had benefit. ALL CANCELLATION REQUESTS MUST BE MADE IN WRITING VIA EMAIL, FACSIMILE OR US POSTAL SERVICE. CANCELLATION REQUESTS ARE NOT VALID UNLESS CONFIRMED IN WRITING BY FINANCIAL MARKETS INC. ASSUMPTION OF RISK: By accepting this Agreement, I/we Invited Financial Professional(s) acknowledge awareness that participation in the 2024 fmiAgent Point Awards trip carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks may vary depending on the activity in which I am participating. Invited Financial Professional(s) acknowledge that Financial Markets Inc makes no representation as to the safety or suitability of any activities in which Invited Financial Professional(s) may be invited to participate, nor will Financial Markets Inc make any other efforts to ensure my safety related to Invited Financial Professional(s) participation in activities. It is the responsibility of the Invited Financial Professional(s) to conduct any and all due diligence on any proposed activity Invited Financial Professional(s) may wish to participate in. Invited Financial Professional(s) has read the statements above and understands and appreciates these and other risks that are inherent in the 2024 fmiAgent Point Awards trip and associated activities. Invited Financial Professional(s) hereby asserts participation is voluntary and knowingly assumes all such risks. INDEMNIFICATION AND HOLD HARMLESS: Invited Financial Professional(s) agrees to indemnify and hold harmless all Parties from any liability, actions, causes of action, claims, or demands of any nature whatsoever, as a result of any personal injury, property damage, permanent disability, or death that may occur in connection with my participation in the 2024 fmiAgent Point Awards trip. SEVERABILITY: Invited Financial Professional(s) expressly agrees this Agreement is intended to be as broad and inclusive as is permitted by the law of the State of South Dakota and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.(Required)

2024 fmiAgent Point Awards trip via Cruise Line trip detail:
Dates: Saturday, April 5, 2025 through Thursday, April 10, 2025
Vessel: Celebrity Summit
Initial Embarkation Port: Fort Lauderdale, Florida
Enroute Destination Ports: Puerto Plata (Dominican Republic) and Nassau (Bahamas)
Final Disembarkation Port: Fort Lauderdale, Florida

Invited Financial Professional(s) agrees to the following:
Agrees to be attentive to Financial Markets Inc communications.
Give his/her due diligence to relevant travel warnings.
Agrees to take responsibility for completing travel specific duties, including all arrangements and costs associated with travel to and from the cruise ship before, during, and after the cruise.
Invited Financial Professional(s) agree to make full payment for their room(s) as noted in this Agreement upon acceptance.

Attendance is by invitation or recommendation of Financial Markets Inc. only. Trip qualification is not redeemable for cash or other remuneration.

Qualifying Producer and one (1) guest may attend compliments of Financial Markets Inc. Any additional guests and/or expenses incurred are the sole responsibility of the Qualifying Producer; complimentary guest may not be another licensed insurance producer unless they are the spouse of the Qualifying Producer.

If more than two persons will be sharing a resort room, all additional/associated costs are the sole responsibility of the Qualifying Producer. Additional incidental costs will also be the sole responsibility of the Qualifying Producer.

No refunds will be provided for missed flights or cancelled vacations. No refunds will be provided for any reason. Financial Markets Inc assumes no liability for weather conditions, loss or injury directly or indirectly due to any accommodation or arrangement of the venue.

Travel arrangements to and from the trip location are the sole responsibility of the attendees. Qualifying Producer is responsible to make every reasonable effort to assist in making travel arrangements in a timely manner to ensure availability of flights and accommodations.

All guests are encouraged to consult a physician prior to the trip to be sure they are sufficiently healthy to travel.
Financial Markets Inc does not require or ask any participant to adhere to any vaccine, social distancing, or masking procedures, but as this is a voluntary event, travel restrictions may apply.

Financial Markets Inc assumes no responsibility for COVID-19 guidelines, mandates or regulations in place for travel. By checking the consent below, you voluntarily agree to assume all risks and accept sole responsibility for any expense, liability, illness, injury, disability or death related to contracting the virus while in travel to/from or in attendance of this trip.

The price of the Cruise covered by Financial Markets Inc includes ship accommodations, ocean transportation, most meals, certain nonalcoholic beverages and most entertainment aboard the Vessel. Unless otherwise provided in this Agreement, the Cruise price does not include air transportation; transfers; optional shore and land excursions; meals and accommodations ashore; certain beverages; photographs; additional gratuities; telephone calls; specialty restaurants, onboard certain vessels; purchases from the ship stores or items of a personal nature, such as medical services, laundry, massages, spa treatments, hairstyling or manicures. Some of these items may be purchased separately.
As provided more specifically in the Cruise Line Ticket Contract, departure and arrival times are not guaranteed and any part of the itinerary is subject to delay, and to port of call cancellation occasioned by weather conditions, exigencies of safe navigation, navigation through regulated waters, ports and channels and other causes beyond the control of the Cruise Line and may be changed at any time at the Cruise Line's sole discretion. In the event of a conflict between this Section and the Cruise Line Ticket Contract, the terms of the Cruise Line Ticket Contract shall govern. A copy of the current Cruise Line Ticket Contract is available at the Cruise Line website.
Cruise Line will use commercially reasonable efforts to notify (via facsimile, email, consumer website post or otherwise) Financial Markets Inc and Invited Financial Professional(s) of any itinerary changes; provided, however, the Cruise Line and Financial Markets Inc is not responsible for any incorrect facsimile numbers or email addresses, inoperable facsimiles or the lack of receipt of any such itinerary change notice if such notice was sent by Cruise Line to Invited Financial Professional. Invited Financial Professional is also advised itinerary change notices are frequently posted on the Cruise Line consumer website.

TERMS AND CONDITIONS:
Invited Financial Professional(s) authorizes Financial Markets Inc to book a cruise room with Cruise Line on their behalf. Invited Financial Professional(s) accepts that Financial Markets Inc is NOT responsible for, nor will Invited Financial Professional(s) attempt to hold it liable for any injury, damage or loss suffered for any conditions, actions or omissions that are beyond the reasonable control of Financial Markets Inc.
Invited Financial Professional(s) understands when traveling internationally all persons must have a valid passport book. Invited Financial Professional(s) understands a passport card is not valid for air travel. Depending on destination and the origin of Invited Financial Professional(s) passport, guests may need to obtain a visa. Proof of citizenship is required for travel outside the United States.
In the unlikely event that a catastrophic situation should occur to redirect or reschedule travel plans and the supplier is unable to provide Invited Financial Professional(s) with the agreed upon travel services and/or products, Financial Markets Inc is not responsible for any damages, economic, social, emotional or otherwise. If Cruise Line is forced to cancel the Cruise due to Acts of God, breakdown of the Vessel, hostilities, blockades, labor conflicts, strikes aboard or ashore, restraint of rules principles or peoples, war, fire, collision, directions of underwriters, arrest, order or restraint by governmental authorities or others (including due to the actions of port officials or government-imposed travel restrictions), acts of terrorism, civil commotions, embargo, weather conditions or considerations of safety of the Vessel (of which the Cruise Vessel Master shall be the sole judge), foundering of the Vessel or breakdowns of or damage to its hull, machinery and fittings, inability to secure or failure of supplies including fuel, requisition of the Vessel, disease, epidemic or pandemic, or other circumstances beyond the Cruise Line’s control (including but not limited to a change in the Cruise Line fleet deployment caused by any of the aforementioned events) (collectively such causes shall be referred to as “Force Majeure Events”), the sole liability of Cruise Line, and/or the Vessel, shall be for a refund of all monies theretofore paid by the Financial Markets Inc to Cruise Line hereunder for all obligations not then performed or for which the Invited Financial Professional has not had benefit.

ALL CANCELLATION REQUESTS MUST BE MADE IN WRITING VIA EMAIL, FACSIMILE OR US POSTAL SERVICE. CANCELLATION REQUESTS ARE NOT VALID UNLESS CONFIRMED IN WRITING BY FINANCIAL MARKETS INC.

ASSUMPTION OF RISK:
By accepting this Agreement, I/we Invited Financial Professional(s) acknowledge awareness that participation in the 2024 fmiAgent Point Awards trip carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks may vary depending on the activity in which I am participating. Invited Financial Professional(s) acknowledge that Financial Markets Inc makes no representation as to the safety or suitability of any activities in which Invited Financial Professional(s) may be invited to participate, nor will Financial Markets Inc make any other efforts to ensure my safety related to Invited Financial Professional(s) participation in activities. It is the responsibility of the Invited Financial Professional(s) to conduct any and all due diligence on any proposed activity Invited Financial Professional(s) may wish to participate in. Invited Financial Professional(s) has read the statements above and understands and appreciates these and other risks that are inherent in the 2024 fmiAgent Point Awards trip and associated activities. Invited Financial Professional(s) hereby asserts participation is voluntary and knowingly assumes all such risks.

INDEMNIFICATION AND HOLD HARMLESS:
Invited Financial Professional(s) agrees to indemnify and hold harmless all Parties from any liability, actions, causes of action, claims, or demands of any nature whatsoever, as a result of any personal injury, property damage, permanent disability, or death that may occur in connection with my participation in the 2024 fmiAgent Point Awards trip.

SEVERABILITY:
Invited Financial Professional(s) expressly agrees this Agreement is intended to be as broad and inclusive as is permitted by the law of the State of South Dakota and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I certify that the information provided in this registration is true and correct to the best of my knowledge. I fully understand and agree to the terms and conditions expressed in this document.