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Puzzle Passion Registry

PLEASE FILL IN ALL THE FIELDS IN THE FOLLOWING FORM TO SIGN UP FOR THE PUZZLE PASSION CLUB. (*required)

Name*:
Surname 1*:
Surname 2:

Language*: Spanish Catalan English French

Address*:

Format: street, number, floor

City/Town*:
Zip Code*:
State/Province:
Country*:
Telephone*:
E-mail*:
Date of birth:

Format: dd/mm/yyyy

Sex*: male female

Where do you normally buy your puzzles?* Specialised puzzle shop Large retail store Toy store
Internet Other

How many puzzles do you buy per year?* 1 to 3 4 to 6 7 to 10
More than 10

How many pieces are there normally in the puzzles you buy?* Less than 500 501 to 1000 1001 to 2000
2001 to 3000 3001 to 6000 More than 6000

What type of images do you like on your puzzles?* Landscapes Fantasy Famous paintings
Animals

Security code*:

Enter the code shown.

IN ACCORDANCE WITH SPANISH LAW AND ARTICLE 5 OF LAW 15/1999, YOU ARE HEREBY DULY INFORMED THAT THE INFORMATION YOU PROVIDE IN THIS FORM WILL BE ADDED TO THE DATABASE MAINTAINED BY EDUCA BORRAS S.A. OR ITS SUBSIDIARY COMPANIES. TO ACCESS THIS INFORMATION, ERASE OR AMEND IT, PLEASE CONTACT EDUCA BORRAS S.A. AT THE FOLLOWING ADDRESS: C/OSONA, 1 08192 SANT QUIRZE DEL VALLÈS BARCELONA - SPAIN

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