Ready, Set, Go! referral form - Citizens Advice

Your name *

First

Last

Your email *

Client's name *

First

Last

Please add at least one method of contact for the client below

Client's email

Client's phone number

Client's address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Data protection *

Please tick this box to signify they you have permission from the client to share their details and that you both agree to Citizens Advice – Bath & North East Somerset storing and using that information for the purposes of helping the client.

We keep details on our database which is confidential to Citizens Advice. The details we take are to enable us to give appropriate advice. The details aren’t accessed by anyone else except in the case of gathering feedback on our service which is also done confidentially. We won’t sell your data or your client’s to anyone.