Supermarket member deal form

Webform

Concerned about the difference in price between member vs non-member pricing? Thanks for taking the time to share your photo evidence.

1. First Name *This question is required.

2. Last name *This question is required.

3. Email *This question is required. This question requires a valid email address.

4. Supermarket *This question is required. For example, New World, PAK'nSAVE, Woolworths.

5. Location of store *This question is required. For example, Kilbirnie, Lincoln, New Lynn. Please be as specific as possible.

6. Please upload any supporting evidence (e.g. a photo). *This question is required.You may select up to three files. 10mb maximum upload size per file.

File: {{filename}} delete

7. Do you consent to the above information being provided to the Commerce Commission? *This question is required.

8. Please add a brief explanation of the problem below. *This question is required.

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