| 1. First
Name:* |
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| 2. Second Name:* |
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3. How many children do you
have?* |
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4. Your children's birth dates
(DD/MM/YY):
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| 5. Your email
address:* |
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| 6. Your postal
address: |
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| 7. Your Postcode: |
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| 8. Preferred place to buy
Ladybird Books? *
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If other:
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| 9. Where did you hear
about www.ladybird.co.uk? * |
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If through an
advertisement, please enter the advertisement code: |
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10. Who is your child's/children's
favourite character? Select all that apply:
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| If other: |
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| 11. Please confirm the
following: |
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| You have read our privacy policy: * |
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| You wish to subscribe to our
newsletter: *
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| We can send other postal
marketing to you: |
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