Personal details Title Title - Select -Mr.MissMrs.Dr.Other… Enter other… First name Surname Postcode Email Telephone No. Preferred contact method Email Telephone I'm interested in I'm interested in I'm interested in (please select all that apply) Receiving a brochure Arranging a viewing Requesting a call back Privacy How Will We Use This Information About You? Here at Beech Grove Homes, we take your privacy seriously. Our Sales team will be in touch to answer your query using the contact details provided above. We may share your information with other members of Sanctuary Group and third parties working on our behalf but we will never pass on your information to anyone else. You can change your mind at any time by contacting us. Read our full Privacy statement for further information. How Will We Use This Information About You? Here at Sanctuary, we take your privacy seriously. Our Sales team will be in touch to answer your query using the contact details provided above. We may share your information with other members of Sanctuary Group and third parties working on our behalf but we will never pass on your information to anyone else. You can change your mind at any time by contacting us. Read our full Privacy statement for further information. I confirm I have read the Beech Grove Homes privacy statement I confirm I have read the Sanctuary privacy statement. Marketing Consent We'd also like to send you exclusive offers and updates on the property you are interested in, as well as other suitable developments matching your needs. If you are happy for us to contact you in this way, please tick the relevant boxes below. Marketing opt-in Email SMS Telephone Leave this field blank Personal details First name Last name Address Address City Postcode Do you know the date range the devices were used for? Yes No Dates Date device was provided Date issue was fixed How many devices were you given? How many devices were you given? Refund details Name on account Account Number Sort Code Name of bank We will need to contact you via telephone to verify the details given above. Please provide us with your telephone number and when would be best to contact you. Contact details Telephone number When should we contact you? Monday AM Tuesday AM Wednesday AM Thursday AM Friday AM Monday PM Tuesday PM Wednesday PM Thursday PM Friday PM Leave this field blank