Taste Experience Club Please fill in the details below, making sure that
you fill in all mandatory fields, marked with an asterisk * thank
you.
First name:*
Surname:*
Title:*
Please select Mr. Mrs. Miss
Address:*
Postcode:*
(without postcode we can't accept your application)
Date of birth:
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9 1 2 3 4 5 6 7 8 9 10 11 12
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Phone:*
Please provide an email address that we can use to keep you informed of events and news:*
The following is optional – if you are willing to fill it in, we will be grateful to receive your feedback! The information will be kept confidential and used for our own research purposes only – it will not be passed on to anyone else.
How often do you visit Priory Farm Shop?
If first time, how did you hear of Priory Farm?
Why, in the main, do you visit Priory Farm Shop? )
Other
Is there anything you would buy regularly from the Farm Shop that we do not already stock? If so, please state:
How would you rate the service in the Farm Shop?
Please add any particular comments here:
Do you have a Priory Farm Reward Card?
Yes
No
If yes, enter number here
Are you a member of any other clubs? Eg Women’s Institute, wine-tasting etc?
Which, if any, local papers/publications do you read?
