Citizens Advice Email Request Form
If you wish to talk to us on the phone please call our local Adviceline  0808 278 7945 (free) 10am - 4pm Monday - Friday 

Please use the form below to request a response to your query by e-mail, we aim to respond within 5 working days. 
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Contact details
For phone advice call Adviceline  0808 278 7945 (free) 10am - 4pm Monday - Friday 

This form is for residents of Reigate and Banstead.  If you are in another area, you can find your nearest Citizens Advice here https://www.citizensadvice.org.uk/about-us/contact-us

Please use https://www.gov.uk/find-local-council to find your local council 
Title *
Full Name *
What is your Date of Birth? *
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DD
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YYYY
Gender *
Full address including postcode *
Email Address *
Do you consent to us sending you emails? *
Contact number *
Are you happy for us to contact you via telephone ?  *
Can we send you a text? *
Can we leave a voicemail? *
Can we leave a message with someone else at this number? *
Special Category Data
We need your explicit consent to keep some information known as special category data. This includes things like your ethnicity, religion, health conditions, and sexual orientation. For full details of how we collect and use your data read our privacy policy. https://www.carbs.org.uk/privacy-policy/
Are you happy for us to record your ethnicity if you make it known to us? *
Are you happy for us to record your Religion if you make it known to us? *
Are you happy for us to record your Health condition if you make it known to us? *
Are you happy for us to record your Sexual Orientation if you make it known to us? *
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