Wilkins SOLICITORS
 Lincoln House 6 Church Street, Aylesbury, Buckinghamshire,  HP20 2QS
Tel: 01296 424681,  Fax: 01296 426213,  DX: 4104 Aylesbury
Departmental E-mail:  RobertSmith@WilkinsSolicitors.co.uk

In order to take advantage of this facility, please complete the form below, and send it to us by either:

• E-mailing it to us by clicking on the Submit Form button at the end of the form, or by

• Printing and faxing the form to us on 01296 426213, or by

• Printing and posting the form to Wilkins, Lincoln  House, 6 Church Street, Aylesbury, HP20 2QS

We will respond within one working day by sending you the appropriate full personal injury questionnaire.

On receipt from you of the completed full questionnaire, we will then send you a free appraisal of your claim within the following 7 days, together with details of your free no obligation interview with a Law Society Approved Personal Injury Lawyer (providing of course that you live locally!).  If you live further afield we will contact you by telephone to discuss your case and options further.