Payday Loan Form – Maddison Clarke

Name*

First Last

Email*

Number*

Please select the lenders you have had a loan with. Amigo*

Approximately how many Payday loans have you taken out in total?*

Did you roll these loans over or use one loan to pay another?*

Privacy Policy*

I give permission to Maddison Clarke and RGL to retain my information with the purpose of processing my claim.

I further give permission to RGL to their providing my information to barristers, experts, the claimant committee, funders and insurers, tribunals and courts.

I accept that Maddison Clarke or RGL may contact me regarding this claim. More information about our privacy policy

Marketing Policy*

I consent to Maddison Clarke LTD sending future communications about any relevant services and products.