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PACT - Charitable Trust Nomination Form
If you are a Personal Assurance policy holder you may nominate your favourite charity to receive a donation from Personal Assurance Charitable Trust.

Please complete the details below and then click the Send button. However if your browser does not support automatic email, please send an email to Christine Capell
ccapell@personal-group.com

Alternatively you may complete the PACT Nomination Form:
Please complete the following details
Your Details
   
Your Title:  
*Your First Name:  
*Your Surname:  
Your Address:  
Your Postcode:  
Home Phone Number:  
Work Phone Number:  
Fax:  
Email:  
Your Personal Assurance
Policy Number:
 
Please consider the following charity for a PACT donation:
Description of charity's work
Are you organising any fund-raising for this cause yourself?
If so give details here
Any Extra Details
     
 
    Data Collection Policy