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          MULTIPLE FIELDS FORM

            Your Details:

            First Name

            Second Name

            Email

            Phone Number

            Postcode

            Service

            Information about the company you have concerns about:

            Name of Company (required)

            Company Location (required)

            Your Concerns (required)

            Helpful facts - if applicable:

            Date paid claims / relinquishment company

            Amount(s) paid

            Payment method(s) used

            Which company/resort is your timeshare with?

            Date purchased timeshare

            Assistance/Information gathering:

            Where did you find out about Timeshare Task Force/KwikChex? (required)

            Please tick this box to consent to being contacted by KwikChex in relation to your enquiry (you may withdraw your consent at any time by using our remove consent form in the footer of our website).Yes

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