Surveys
2011
December
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The Anti Anti Pagan Coalition Competition 30/12/20
The Anti Anti Pagan Coalition Competition 30/12/20
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Exit Survey »
Hello:
You are invited to participate in our Competition [29/12/2011-10/01/2012]. In this Competiton, There will be only one winner. the prize draw will take place on the 11/01/2012 all participants must answer all the questions marked with a [*] answer all questions correctly and you will have the opportunity to win the prize It will take approximately [5] minutes to complete the questionnaire.
Your participation in this competiton is completely voluntary. There are no foreseeable risks associated with this Competition. However, if you feel uncomfortable answering any questions, you can withdraw from the Competiton at any point.
The winner of the competition will be announced on The Anti Anti Pagan Coalition Facebook Page which will be on public view, and Facebook users that like The Anti Anti Pagan Coalition Facebook Page will be able to comment on the wall post, the winner will also be notified Via Email/Facebook
Your Competiton entries will be strictly confidential. Your information will be coded and will remain confidential. If you have questions at any time about the Competiton or the procedures, you may contact [Brenda Woods] by email at the email address specified below.
[email protected]
Thank you very much for your time. Please start the Questionnaire now by clicking on the
Continue
button below.
Do Not Enter This Competition more than once or all of you entries will be declined!
I Accept the Terms and Conditions Stated Above
Personal Information
*
First Name
*
Last Name
*
Email Address
What Religion are you?
-- Select --
Pagan/Wiccan/Druid
Christian
Muslim
Hindu
Buddist
Athiest
Agnostic
Other
*
What is your date of birth?
--
01
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--
Jan
Feb
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Apr
May
Jun
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Aug
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Oct
Nov
Dec
--
2024
*
House Name/Number
*
Address Line 1
*
Postal Code
Thanks For Completing The Entry Form, We will contact you explaining what happens next
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