Will Questionaire

	KAYE TESLER SOLICITORS
Tel: 020 8809 6756	Email: kt@uklaw.net	Fax: 020 8802 0660

Awarded to Kaye Tesler & Co for design of this site

Change Of Name Questionnaire

Awarded to NKT (Computer Consultants) Ltd for design of original Kaye Tesler & Co website.

Present name.

Address:

Street address
Address (cont.)
City
County
Postal code
Country
Work Phone
Home Phone
FAX
E-mail

New Name:

Do you wish to change the name of any of your children?

If so please complete the following section.

Child 1.

Old Name:
New Name:

Child 2. Old Name. New Name.

Old Name:
New Name:

Child 3. Old Name. New Name.

Old Name:
New Name:

Child 4. Old Name. New Name.

Old Name:
New Name:

Are you married and changing your married surname?

If so please give your husbands full name and address:

Name
Street address
Address (cont.)
City
County
Postal code
Country
Work Phone
Home Phone
FAX

Please calculated the sum due to be sent to us consisting of :-

Our fee		£50.00
VAT thereon		£8.75
Agency Identity check (see client care procedures)		£20.00
VAT thereon		£3.50
Total		£82.25

Please debit my credit card with including VAT @ 17.5%

Type of card Card Number Expiry Date (mm/yy)

I will telephone you 020 8809 6756 with my credit cards details.

Cheque in post to Kaye Tesler & Co, Equity House, 86 West Green Road, London N15 5PD.

I instruct you on basis that I have read 'OUR PRACTICE' Section of the Kaye Tesler web site.

Change of Name

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