Your Details

You only need to complete the personal details on this page of the survey if you would like to be entered into a prize draw to be in with a chance of winning one of three sets of £100 Love2Shop vouchers!

* 1. Your name

* 2. Name of establishment

* 3. Postcode of establishment

* 4. Email address

We will only use this information to draw the winners of the three prizes and to contact you to let you know if you have won one of the prizes.

You can change your mind at any time by contacting us at stiritup@countryrange.co.uk to ask us to delete your details. You can also contact this email address to request a copy of our privacy policy.
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20% of survey complete.

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