Buyers Guide Claim Form

Please complete a separate form for each promotional claim you would like to make.

(* All lines marked with an asterisk must be completed.)

I would like to claim for the following promotion:
Advice Note Number(s): *
Customer Name: *
Company Name: *
Account Number (if known):
Contact Number: *
Contact E-mail: *
Please send my gift to...
Recipient Name *:
Recipient Address *: (inc. Postcode)
Comments/Requests:
Please tick this box if you would prefer not to receive details of any promotions via email.
Disclaimer - Please note that each claim must be made within the terms of the Buyers Guide advertisement. All offers have a limited availability as detailed in the Buyers Guide and are offered on a first come first served basis. Senate Terms & Conditions apply.