Data Protection Complaint Form

Full Name

Email Address

Phone Number

Address 1

Address 2

Town

County

Postcode

How would you like to be contacted? Post Email Phone Please select from the dropdown options

What is your relationship to Parsley Box? Customer Investor Employee Other Please select from the dropdown options

Date of issue or data incident DD-MM-YYYY

Details of your complaint

How would you like us to resolve the matter?

Do you wish to attach supporting evidence? Yes No