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Use this form to arrange a callback with Simplicity Financial Services.

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Title First Name* Surname* Date of Birth Contact Telephone Number*

Address Town Postcode E-mail Address*

Date Preferred*

Time Preferred*

I have read, understood and agree to the Data Protection Declaration as described below :

I agree to further contact as described below in Our Future Relationship:

Data Protection Declaration
Simplicity Financial Services Ltd and Home of Choice Ltd will process all information in accordance with the Data Protection Act 1998 and it will be treated as private and confidential now and in the future. The only exceptions to this will be when the law requires us to disclose information or, with your consent, where disclosure is necessary when arranging or servicing your mortgage or protection contracts.

To fulfill our regulatory obligations, we will retain copies of your records for no longer than is necessary or for the duration of any contract you may enter into. You have the right to inspect these records at any time.

Our Future Relationship
Our ongoing business relationship with you is important and we would like to be able to contact you by telephone, post or email from time to time to review your mortgage and associated protection product arrangements and introduce other services that may be of interest to you from ourselves or our associated companies.

Simplicity Financial Services Ltd are Appointed Representatives of Home of Choice Ltd, which is authorised and regulated by the financial Services Authority Registered in England No. 5078570

Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on your mortgage. There may be a fee charged for mortgage advice. The amount will depend on your circumstances but will not exceed 1% of the loan arranged.