BARCLAYS WEALTH ESTATES & TRUSTS

Payment details
Pay by (please tick one) Visa Mastercard Switch Delta
Card number
Cardholder’s name
Start date M M / Y Y Y Y Expiry date M M / Y Y Y Y
Issue number (if Switch) Security code
Signature of cardholder
Date D D / M M / Y Y Y Y
Important note for all clients
Please ensure that you sign below. Your signature(s)
authorise us to prepare will(s) based on these instructions.
Signature of applicant
Print name
Date D
D / M M / Y
Signature of spouse/civil partner/partner (only required if
mirror wills are to be prepared)
Print name
Date D D / M M / Y
Y
Y
Y
Y
Y
Y
Please note: Your details are held by Barclays Bank Trust
Company and Irwin Mitchell as joint data controllers. Your
details may be passed by Barclays to their agents or their
third party administrators.
You have the right of access to your personal records held
on Barclays Bank Trust Company’s and Irwin Mitchell’s files
by written request to The Data Protection Co-ordination
Officer, Barclays Wealth Estates & Trusts, Osborne Court,
Gadbrook Park, Northwich, Cheshire, CW9 7UE and
The Compliance Officer, Irwin Mitchell, Riverside East,
2 Millsands, Sheffield, S3 8DT.
If you do not wish to receive details of products and services
from Barclays Bank Trust Company Limited and other
members of the Barclays Group, please write to us at the
above address providing your full name, address and
product or service details.
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