Title ........First-name........................ Surname ....................................... Birthdate ...................................... Address ....................................... ..............................................

...................Postcode................... E-mail ......................................... Daytime Tel..................................... Mobile Tel...................................... n How often do you purchase the Birmingham Mail? Every day o 4-5 days per week o 2-3 days per week o Once a week o Less often o Delivered o n Which days do you normally buy the Birmingham Mail? Monday o Tuesday o Wednesday o Thursday o Friday o Saturday o

Birmingham Post & Mail and Trinity Mirror Group companies may contact you by phone or letter with details of goods and services you may be interested in. Please also keep me informed by: Email o SMS o

We may share your info with third parties who may contact you with details of goods and services by email, letter or phone. Is this OK? Yes o No o

Terms and conditions: All entries need to be received by Saturday July 28. Prize draw will take place week commencing July 30. Birmingham Mail rules apply.
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