The Jewellery Channel (SM-GC-SEP-001)

The Jewellery Channel values your feedback; Tell us how we are doing

Question Title

* 1. Tell us about yourself

First Name: *

Last Name: *

Address: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Country: *

Email Id: *

Registered Phone Number (10 Digit): *

Question Title

* 2. Please enter details below:

Date of Birth:

Date

Question Title

* 3. Share your shopping experience and thoughts about The Jewellery Channel.

Terms and Conditions:
• Survey contest ends on 23rd September 2012 • All prizes are non-transferrable and are non-exchangeable for cash or any other items • The winner of contest will be notified within fifteen (15) working days from the date of the contest end date • The Jewellery Channel may at its sole discretion substitute or replace any prize with any other prize of equal or similar value (in kind) selected by it without prior notice • The decision of The Jewellery Channel on all matters relating to or in connection with the Draw shall be final and binding on all parties concerned • The Jewellery Channel may, at any time in its sole discretion and without prior notice, vary, modify, delete or add to these terms and conditions and may also withdraw or discontinue this contest at any time without any notice of liability to any Customer