Day 12: Christmas Competition

FILL IN THE BELOW FORM. THE FIRST 45 ENTRIES WILL RECEIVE A NAUGHTY ELF GIFT HAMPER CONTAINING 12 ACTIVITIES, TOYS & GAMES:

ENTER TWELVE LETTER CHRISTMAS WORD(S) HERE: (required)

What is your connection with PKU? (patient/carer/family member) (required)

Your First Name (required)

Your Last Name (required)

Your E-mail (required)

Your Contact Telephone Number (required)

Patient's Age (required)

Do you have any questions about our products? (YES/NO) If 'yes' we will contact you to arrange a 121 to discuss these. All sample requests will be sent to your Dietitian for approval before any products can be sent out. (required)

Delivery Address (required)

The name of your hospital or dietitian (required)
Contact information for your hospital or dietitian (required)

Would you like to be added to our email list to be kept up-to-date
with news and new products?
YesNo

How did you find out about us? (required)

Social MediaA Medical ProfessionalA Friend or Family MemberAn Event or Clinic

Terms and Conditions:

PKU patients and families located in the UK and Ireland are eligible to take part in this competition. All other entries will not be considered.
We have 45 Christmas Hampers to give away. Please only enter the competition once per family, to ensure every family that takes part has a chance of winning a hamper. Duplicate entries will not be considered.
The 45 winners will be chosen based on the first 45 forms submitted to us on 12th December.
The competition will start on 1st December 2020 and end on 12th December 2020.
We will email all winners on 14th December and you will receive your hamper before 20th December.
We will not be liable for mis-delivery or for any issues with the third-party courier.