I am interested in joining the TUI Income Continuance Plan & would like an information pack sent out to me today    OR I am already a member of the TUI Income Continuance Plan & would like an information pack containing details of my new benefits sent out to me today   * Denotes information you need to supply.              Title: Mr Mrs Ms First Name: *                                 Surname: *    Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   January February March April May June July August September October November December   1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 *   Marital Status: Single Married Partnered Divorced Seperated Widowed * Sex: Male Female *         Union:   Employer (VEC, C&C, IOT: Client Number (if known): Workplace Name: *   Home Address: *   *    *  Workplace Address: Home Telephone:       Work Telephone: *      Mobile Telephone:      Exact Occupation:  * Please supply at least one contact number Employment Type: Permanent Job Sharer Part time Temporary    I hereby consent to the use and recording of my personal details (contained herein or provided subsequently) by Cornmarket. I understand that the details I have provided will be held on computer, and/or in printed form or otherwise by Cornmarket. I agree that this information may be used in the future to contact me (by mail) about Cornmarket services which may be of interest to me. I understand that the information provided by me will not be passed on to third parties for the purposes of direct marketing. I also understand that I may at any stage, at no cost, instruct Cornmarket in writing to no longer hold my data for the purpose of sending me such information and that I have a right of access to and the right to rectify the data concerning me held by Cornmarket.     If you do not wish to receive information about Cornmarket services, please tick here.