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 £250 in Amazon vouchers!

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* 1. Your name

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* 2. Name of establishment

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* 3. Postcode of establishment

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* 4. Email address

We are committed to protecting and respecting your privacy. We will only use any personal information provided for the purpose of  administering and contacting you will regards to the prize draw or to provide content for the magazine if you have indicated that you wish to do so.

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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