The data processor, A&G Funeral Group, processes personal data in order to manage your request. The collected data is essential, as without it we cannot proceed with your request. You have rights of challenge, access, modification or objection on legitimate grounds in relation to all data concerning you. You can exercise these rights by sending an email to email@example.com or a letter to A&G's Legal Department at 6 avenue Oscar Van Goidtsnoven, 1180 Brussels, accompanied by a copy of your identity card.
* Fields marked with an asterisk are required. To find out more about your rights and how to exercise them, and in particular how to withdraw your consent to the use of the personal data collected via this form, please consult our confidentiality policy.
** Offers and messages are sent electronically (SMS, MMS, email), or by fax or letter. A&G Funeral Group's partners include insurers, agents, mutual societies, provident institutions, associations and brokers.