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Personal Details    ( * ) Denotes Required
First Name  ( * )  
Last Name  ( * )  
Email Address  ( * )  
Gender    
Male Female
Age Group    
Under 18 18 - 25  25 - 35 
35 - 45  45 - 55  Over 55 
Date of Birth     / /
Address    
PostCode  ( * )  
City    
Region    
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Purchased Products Details
How long ago did you buy your last pillow?    
About 1 month ago 6 months ago 
12 months ago  18 months ago 
2 years ago  Over 5 years ago 
How long do you expect your pillow to last?     months
How long ago did you buy your last quilt?    
About 1 month ago 6 months ago 
12 months ago  2 years ago 
5 years ago  Over 10 years ago 
How long do you expect your quilt to last?     months
Where would you go to purchase your pillows and quilts?    
Kmart Woolworths
Harris Scarfe Big W
Coles Harvey Norman
Myer Adairs
David Jones Spotlight
What information would you like to see in Tontine Newsletters?    
New product information
Care instructions
General bedding accessories information - e.g. how to choose the right pillow/quilt
Information about Tontine's latest advertising campaigns
Special deals

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