By submitting this form you agree to us passing on your details to Irwin Mitchell, who will contact you about making your free Will by post. 

If you have any questions about this form please call the legacy team on 020 7566 1505.

Your details

I confirm the information I have provided is correct, I meet the eligibility requirements for the Stroke Association Free Will Scheme. (Aged over 60 or a stroke survivor aged 18 or over) and I have read the Terms and Conditions.

Address

Where did you hear about the Stroke Association's Free Will Scheme?

How would you like to hear from us?

Your privacy is our priority. We promise to keep your details safe and will never sell them. We will also keep in touch by post about how we can continue to support you, and opportunities to support us. If you would like to change the way you hear from us, just call 0300 3300 740 or email supporter.relations@stroke.org.uk. How we protect and use your personal data is set out in our privacy policy.