Entry form

To claim your money back please complete the form below. You will need a picture of your valid receipt.

First Name

Last Name

Email address

Bank Account Name

Bank Account Number*

Sort Code*

Address line 1

Address line 2

Town

County

Postcode

Which store did you make your purchase at?

Which product did you purchase?

Product Purchase Price (£)

Please let us know your feedback in 20 or more words

Please upload a picture of pack*

upload

Maximum file size 10MB, jpg/jpeg, png or bmp format only.

Please follow these guidelines while uploading copies of your receipt.

Please upload the front of your receipt*

upload

Maximum file size 10MB, jpg/jpeg, png or bmp format only.

Please upload the back of your receipt*

upload

Maximum file size 10MB, jpg/jpeg, png or bmp format only.

I confirm that I have read and agree to the and ?*