Car sticker

If you would like to have an additional "Tregony 20's plenty for us" car sticker, please complete your details below.

The questionnaire has been compiled by Bob Egerton, Cornwall Councillor, Probus Division
Contact details: Trevillick House, Fore Street, Grampound, Truro TR2 4RS
www.bobegerton.info
Email: bobegerton@mac.com

Data Protection Act: I am registered with the Information Commissioner’s Office as a data controller (see http://tinyurl.com/d5kjzpk). Any personal information that you provide will be kept securely. I may contact you by post, telephone or email to discuss issues of local concern or to canvass your opinion. You may ask me at any time to stop mailing you or contacting you and/or to remove your details from my database.

Your postcode

Question Title

* 1. Your postcode

Your street and house name or house number

Question Title

* 2. Your street and house name or house number

Your name (surname)

Question Title

* 3. Your name (surname)

Your telephone number

Question Title

* 4. Your telephone number

Your email address

Question Title

* 5. Your email address

Please specify how many additional stickers you would like to have

Question Title

* 6. Please specify how many additional stickers you would like to have

Any other comments

Question Title

* 7. Any other comments

Thank you for answering the questions. I will aim to respond within 48 hours.

T