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Registration form

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Items marked are required.

User name :

NOTE: 4 - 80 characters
(We suggest you use your e-mail address as it is easy to remember and unique to you)

Choose Password :

NOTE: 4 - 25 characters

Confirm Password :

Title :

Mr: :
Ms :
Miss :
Mrs :
other :

First Name :

Surname :

E-mail address :

House/Flat Number/Name :

Street/Road :

Postal Town/City :

County :

Post Code :

Tel No :

The following questionnaire is intended to help us help you by influencing organisations. We want to make the most of reactive complaints by using them to force improvements in the provision of customer service. You do not need to answer these questions to proceed but please do if you have the time.

Sex :

Date of Birth :

Marital status :

Dependent Children :

Occupation :

Household Income :

Is your home :

Which Newspaper do you normally read? :

How many cars are there in your household? :

Which is your primary bank? :

Do you have private health insurance? :

Which credit cards do you have? :
(you may select more than one)

Access
Mastercard
American Express
Associates
Barclaycard
Capital One
Co-operative Bank Visa
Goldfish
M&S Card
MBNA
RBS Advanta
Trustcard Visa
Other credit card
Other Charge Card
Gold Card
Store Card
Debit Card (eg Switch)

Which is your main grocery store :

Mobile Phone provider :

Do you have cable/satellite TV? :

How do you access the internet? :

What is your attitude to internet shopping? :

Which leisure activities do you enjoy
on a regular basis? :
(you may select more than one)

Antiques
Art
Astrology
Betting
Bingo
Bird-watching
Books
Card Games
Camping
Cinema
Competitions
Computer Games
Cookery
Country Pursuits
Crosswords and Puzzles
DIY
Eating Out
Fantasy or Sci Fi
Fashion
Clothing
Gardening
Hair and Beauty
Hiking and Walking
History
Home Computing
Internet
Military Interests
Pets
Pub
Railways
Needlecraft
Sports
Stamp Collecting
Theatre Arts
Voluntary work
Wines

From time to time we may use your e-mail address to ask you questions that are within the context of HowtoComplain and which are aimed at improving services to you. You are under no obligation to take part in any such research and may tell us not to include you at any time. Your personal details will always remain confidential (privacy statement).
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