Registration form

	Registration Form Leitz The File

	Please fill out all the fields in the below form. And email your proof of purchase to marketinguk@esselte.com or send it to: Esselte UK Ltd, Waterside House, Cowley Business Park, Cowley, Uxbridge, UB8 2HP, mentioning Leitz The File promotion.
Email address*
First Name*
Last Name*
Company Name*
Address*
Postal code*
City*
Country*
Bought at*
Invoice number*
Date of invoice (dd/mm/yyyy)*
Number of LAF´s purchased*
Which gift(s) would you like to receive?*	Select your gift(s) () (*) WOW notepad A5 ruled pink WOW notepad A5 ruled purple WOW notepad A5 ruled iceblue WOW notepad A5 ruled blue WOW notepad A5 ruled green WOW notepad A5 ruled orange Style softcover notepad A5 satin black Style softcover notepad A5 arctic white Style softcover notepad A5 garnet red Style softcover notepad A5 celadon green Style softcover notepad A5 titan blue Leitz Big Blue speaker black Leitz Big Blue speaker white
	* max. 2 notepads per household/company
	**Max. 1 Big Blue speaker per household/company
Terms and Conditions*	I have read and agree with the terms and conditions.
	*Required fields

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