Could you share the following information to help us tailor the best deals for you? 1. Full Name: Name 2. What you pay monthly for: TV license : Gas, electricity & water : Broadband/TV/Phone : Mobile phone : Car insurance : Rent (if renting) : 3. Do you have life insurance? If yes, how much : life insurance 4. Are you a homeowner or renting : homeowner or renting Select one Homeowner Renting 5. Your employment status : employment status Select one Employed Self-employed Unemployed Student Retired 6. Relationship status : Relationship status Select one Single Married Divorced Widowed Other 7. Any kids under 18 living with you? How many and what ages : Any kids under 18 living 8. First line of your address along with postal code: First line of your address : 9. Your email address : email address 10. Your date of birth: date of birth Send
