Interruption to your water supply - UB7 - West Drayton
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You are here : At Home > Customer Panel Form
Thank you for agreeing to participate in this market research project that we are conducting.
For the second part of your participation. We have engaged with Acumen Fieldwork who will contact you on behalf of Affinity Water to confirm your attendance to an online customer panel to talk about bespoke topics e.g., MyAccount, Home Move.
Fields marked with * are mandatory.
How we will collect and use your information
Data Held by Acumen Field
If you consent to participation in this second part of the focus group, your name and contact information will be shared with Acumen Field who will contact you to confirm your attendance and only used for the purposes of this project.
Data Held by One4all
Data Held by One4all Once you took part in the focus group, your name and email address will be shared with One4all so that they can send you your £20 e-voucher gift as a thank you. This will only be used for this purpose.
Data Held by Affinity Water
Audio and/or visual recordings consent declaration
Consent: By signing this disclaimer you must read and confirm each of the following statements. If you agree to the use of the personal data as stated put a tick in the relevant box. If you disagree with the use of your personal data as stated please leave the box blank.