Back Street Heroes - To win Chopper Club's Old Time Custom Show Tickets

Free prize draw

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* 1. Win Chopper Club's Old Time Custom Show Tickets

Please enter the following details to be in with the chance of winning the tickets. Deadline for entry is 30 March 2015.

Title:

First name:

Last name:

Email address:

Telephone number:

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* 2. What Bike (or bikes) do you own?

Bike 1

Bike 2

Bike 3

Bike 4

Bike 5

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* 3. Do you currently subscribe to Back Street Heroes

Yes

No

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* 4. Does your other half also read BSH?

Yes

No

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* 5. Are you happy for Back Street Heroes to contact you with any specific offers or promotions?

	Yes, I'm happy	No, don't contact me
By email:	By email: Yes, I'm happy	By email: No, don't contact me
By telephone:	By telephone: Yes, I'm happy	By telephone: No, don't contact me

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* 6. Are you happy for selected partners of Back Street Heroes to contact you with any specific offers or promotions?

	Yes, I'm happy	No, don't contact me
By email:	By email: Yes, I'm happy	By email: No, don't contact me
By phone:	By phone: Yes, I'm happy	By phone: No, don't contact me