Personal Details
     
  Title
Ms. Mrs. Mr.
  First Name
  Surname
  Address 1
  Address 2
  Address 3
  County
  E-mail
 
General Questions

  Q1. What is your baby's due date?
   
or, I am currently not pregnant


  Q2. If you have other children what are their dates of birth?
  Child 1    
  Child 2    
  Child 3    
 
Q3. Where do you do your main shopping?
 
  Q4. Have you made a decision on what brand of nappies you will use?
  Yes No
  If yes - which brand
   

  Q5. Where did you hear about this competition ?
 
   
  The information provided may be used by Comfies to send you future promotional offers. If you do not wish to receive such offers, please tick this box.

Any inquires
Comfies Careline 00 800 37266625

Rules & Conditions
Competition ends December 2003
Only one entry per household
Comfies decision is final