fill in the form to order clubcard

When you receive your clubcard sign the back and register your visit to selected websites using the last 9 digits on your card.





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Which site have you just visited? URL:

Name*:

Organisation:

Address*:

Sex:

Tel No.*:

Email*:

Date Of Birth:

Which is your favourite supermarket?

Other

Do you prefer your food genetically modified or unadulterated?

Personal Pleasure

What do prefer ?

Personal Hygiene

Are you

Personal Organisation

Are you

Do you often give your personal data to marketers?

How much is your personal data worth to marketing agents?

Would you like to earn money by selling your personal data to marketers?

Do you wish to exist on the PDF database?

Would you like surfers to earn points when they visit your site?

URL