WeWin4u Subscription Form

Congratulations on your decision to subscribe to WeWin4u.
We will now ask you a series of questions that will help us enter competitions on your behalf and set up your email account.  There are a lot of questions, but the good news is you only have to answer them once.  Please answer the questions as accurately as you can, as inaccurate information may disqualify you from winning.  
All fields marked with must be completed - any items with a need to be corrected.

Personal Details

Title		Select Mrs Mr Miss Ms Dr
First Name
Surname
Sex		Male		Female
Marital Status		Married		Single / Cohabiting
Telephone Numbers		Home	( )		We treat your phone numbers with respect! We do not enter competitions that send you SMS texts or marketing messages.
		Work	( )
		Mobile	( )
Preferred Number		Select Home Work Mobile
Date of Birth		1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day January February March April May June July August September October November December Month 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 Year
Occupation

Current Email Details

These are your current email details. We will not use this address for competitions to prevent you receiving unwanted spam.
Email Address
Reconfirm Email Address

New Email Details

We can set up a brand new email account for your competitions or you can use one you already have.  If you would like a new mailbox, please suggest a mailbox name you think no-one else would have chosen.  We will use it if it is valid and available.
	I would like you to help me set up a free email account. Help me choose
	Mailbox Name	@ example.co.uk Please use at least 7 lower case letters or numbers and avoiding real words	The mailbox name is the part before the '@' sign - The address we set up for you will not contain 'example.co.uk' - we will tell you your new email address after you have signed up.
	I would like to use an email account I already have. Help me choose
	Existing Email Address		We strongly recommend this is different from your current address in the section above.

Your Home Address Details

Sorry, we cannot accept more than one membership per household, or applications from the Republic of Ireland or the Channel Islands.

House Number			Please use a number if available
Street Name
Address Line 2
Town
County		Select Aberdeenshire Anglesey Angus Antrim Argyllshire Armagh Avon Ayrshire Banffshire Bedfordshire Berkshire Berwickshire Brecknockshire Buckinghamshire Buteshire Caernarfonshire Caithness-shire Cambridgeshire Cardiganshire Carmarthenshire Cavan Cheshire Clackmannanshire Cornwall Cumbria Denbighshire Derbyshire Derry Devon Dorset Down Dublin Dumfriesshire Dunbartonshire Durham East Lothian East Sussex Essex Fermanagh Fifeshire Flintshire Forfarshire Glamorgan Gloucestershire Greater Manchester Hampshire Herefordshire Hertfordshire Huntingdonshire Inverness-shire Isle of Man Isle of Wight Kent Kincardineshire Kinross-shire Kirkcudbrightshire Lanarkshire Lancashire Leicestershire Lincolnshire Londonderry London Merionethshire Merseyside Middlesex Midlothian Monmouthshire Montgomeryshire Morayshire Nairnshire Norfolk North Humberside North Yorkshire Northamptonshire Northumberland Nottinghamshire Orkney Isles Omagh Oxfordshire Peeblesshire Pembrokeshire Perthshire Radnorshire Renfrewshire Ross & Cromarty Roxburghshire Rutland Selkirkshire Shetland Isles Shropshire Somerset South Yorkshire Staffordshire Stirlingshire Suffolk Surrey Sutherland Tyne and Wear Tyrone Warwickshire West Lothian West Midlands West Sussex West Yorkshire Westmorland Wigtownshire Wiltshire Worcestershire
Country within UK		England Scotland Wales Northern Ireland Select
Post Code			Unsure? Look up your postcode here
		I confirm that this is my residential address.  Office addresses cannot be accepted

Prize Category Choices

Please check the types of prize(s) you WOULD like to win:
	Activity Holidays	Activity-based holidays such as skiing, sailing or golfing vacations
	Arts & Crafts	Hobby and artists materials, handicrafts, kit models etc.
	Boats	Boats, jet-skis and watercraft
	Books & Magazines	Books of all types & magazine subscriptions
	Bicycles & Motorbikes	Adult and children's cycles, motorbikes and accessories
	Cameras & Camcorders	SLR, digital & HD cameras and camcorders, lenses and accessories
	Cars	Cars and vans
	Cash & Vouchers	Cash and money-off or discount vouchers
	Computer	Netbooks, laptops, PCs, Macs and hardware & software
	Digital Radios	DAB radios and accessories
	DVDs	DVD and Blu-Ray movie boxsets
	Electrical Goods	Household electrical, i.e. washing machines, fridges and home lighting etc
	Event Tickets	Tickets for cinema, theatre, concerts and sporting events
	Extreme Activities	Parachute jumps, zorbing, aquasphering, climbing and other physically demanding activities
	Fashion & Clothing	Clothes and fashion accessories for men & women
	Food & Drink	Wine & spirits, hampers, chocolate etc.
	Foreign Holidays	Relaxing holidays outside the UK, excluding activity holidays
	Games Consoles & Games	Xbox, Nintendo and Playstation consoles and games
	Health & Beauty	Ladies and mens grooming and health products
	Home Entertainment	Home theatre and stereo systems, set top boxes and PVRs
	Home & Garden	Home & garden furniture, BBQs, home makeovers, plants, homeware & kitchen goods
	Jewellery & Watches	Jewellery and watches for ladies and men
	Kids	Clothes, toys & games, baby essentials and children's items
	Mobile Telephones	The latest handsets, phone accessories and credits
	Motoring Accessories	Sat-nav, in-car entertainment and all car accessories
	Music	Music downloads, CDs and vinyl
	Office	Home office equipment and supplies
	Personal Music Players	iPods, Creative Zen and other portable MP3/MP4 players
	Spa Breaks	Health spa breaks for ladies and men
	Sport	Sporting equipment and accessories
	Televisions	LCD and plasma flat panel high-definition televisions
	UK Holidays	Any UK based holiday
	Weekend Breaks	Short overseas & UK hotel and city breaks, excluding spa breaks

Prize Location Choices

Although most prizes will be delivered directly to your home, some Event or Activity prizes or Weekend Breaks may require you to travel to a different UK location.  Please select the locations you WOULD be prepared to travel to:

	Northern Scotland
	Southern Scotland
	Northern Ireland
	N.W. England
	N.E. England
	Yorkshire & Humberside
	North Wales
	South Wales
	West Midlands
	East Midlands
	S.W. England
	S.E. England
	London
	East Anglia

Optional Information

How did you hear about WeWin4u? If someone recommended us to you, please give their name so we can give them a free extension to their membership - if you just put 'a friend' we won't know who they are!
Is there anything on this website you think could be improved?

I have read and agree to the terms and conditions

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