If you've been affected by personal identity fraud and are interested in being a case study for use in the media please add your details here. If you're selected your details will be passed onto Fellowes for them to contact you.

Thanks,
MNHQ

1. Your name

2. Email address

3. Have you been affected by personal identity fraud?

4. If yes, please give details below:

5. Please tick the box below if you agree for your details to be passed on to Fellowes and their PR agency

Thanks for taking the time to volunteer. You will not receive any marketing as a result of this survey.

T