First Name
Last Name
Company / Organisation
Street
Town / City
County
Postcode
Phone
Email address
Please summarise briefly the nature of your query and why you seek the Scheme’s assistance (we recommend no more than 15 lines). You should also include the names of any other parties involved. This will assist your Advisor to start the conflict check process. Any information you provide will be kept confidential.
Your Request
How did you hear about the scheme?
I understand that this form collects details so that I can be contacted with regards to the Competition Pro Bono Scheme.
I agree to the scheme conditions