TradePoint Benefits Card Application Form
Reason for application
*
Replacement card
Additional card(s)
If additional, how many additional TradePoint cards do you require?
*
Please select...
1
2
3
4
5
Card Holder 1
*
First Name
Last Name
Card Holder 2
*
First Name
Last Name
Card Holder 3
*
First Name
Last Name
Card Holder 4
*
First Name
Last Name
Card Holder 5
*
First Name
Last Name
Please complete your details below.
Title
*
Mr
Mrs
Miss
Ms
Dr
Other
Name
*
First Name
Last Name
Company Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Telephone (Landline)
Telephone (Mobile)
*
Email
*
example@example.com
Your Home Safe Membership Number
GDPR STATEMENT
*
This is our GDPR statement. 'By clicking on "Accept" and submitting this application form you are consenting and agreeing to our (the Home Safe Scheme) sharing the personal information that you have entered into this form, with B&Q TradePoint. This information is required by B&Q TradePoint in order to provide you with a requested service (provision to you of additional and/or replacement discount card(s)). B&Q TradePoint are a third party affiliate of the Home Safe Scheme and, as such, will have their own privacy and data protection policy which can be viewed via their website at https://www.trade-point.co.uk/privacy-policy/#
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