Data Protection Act Statement.

Denplan Limited will hold and use information supplied by you. We may send it in confidence for processing by other companies including those located outside the European Economic Area. By signing this form you consent to such uses of this personal data.

Denplan Limited may send you details of our other products and services and we may also share some of your details with other AXA group companies (or other carefully selected companies) based within the European Economic Area to enable them to send you details of their products and services. We may contact you by post, telephone or electronically if appropriate.

If you do not wish us to do this, please tick the box on the form, otherwise we will assume that, for the time being, you are happy for us to contact you.