Request Information Please complete the short form below and we’ll send you more information about the schemes you are interested in. YOUR DETAILS First Name * Surname * Email * Company Name * Number of Employees HOW CAN WE HELP Which scheme/s are you interested in? Company Paid Assist Protect Employee Assistance Employee Rewards Flu Vaccinations Gym & Fitness Health Cash Plans Life Insurance Medical Insurance Occupational Health Retail Discounts Salary Sacrifice Car Scheme Cycle to Work Health Screening Holiday Exchange Save As You Learn Voluntary Cycle Insurance Cyclist Protection Payroll Giving Utility Discounts Will Writing Anything else? YOUR AGREEMENT * I confirm that I give Gemelli permission to contact me in relation to this enquiry using the details provided. DATA PROTECTION The information that you provide on this form will be used in a confidential manner to help us process your request. We abide by the Data Protection Act and General Data Protection Regulations. We are conscious of only taking the personal data from you that we require and will keep it safe and secure. Please confirm you understand and agree to this Data Protection Statement and that we need to take details about you to process this application. You can find details of how we process your personal data in our Privacy Policy on our website. * I confirm I understand and agree with this Data Protection Statement. SUBMIT YOUR REQUEST Please now submit your request by clicking on the button below. One of our team will be in touch shortly – thank you. reCAPTCHA If you are human, leave this field blank. Submit
