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TV Reviewers – Retail / Distribution brand campaign

Participation form for a TV Reviewers pilot campaign

Your first name

Your surname

Your phone number

Your email address


Are you a customer of the retailer featured in this campaign?

Are you a customer of the retailer featured in this campaign?
A
B

Can you confirm that you made a purchase or used a service at this retailer?

Can you confirm that you made a purchase or used a service at this retailer?
A
B

Can you specify the retailer, store, website or service concerned?

Date of purchase or use

Place of purchase or channel used

How often do you use this retailer or service?


Supporting proof

Can you provide proof of purchase or use related to the store or service in question?

Can you provide proof of purchase or use related to the store or service in question?
A
B

Upload your supporting document

Type of supporting document

Upload proof of purchase or proof of use of the service. Photo or document preferably in JPG, PNG or PDF format.

Your review

What rating would you give your experience with this retailer/ service ?

What rating would you give your experience with this retailer/ service ?

Title of your review

Your detailed review

The reviews most useful to us are those that describe this product or service as it was really experienced, beyond a simple “I like it” or “I don’t like it”. TV Reviewers may refuse a review that is too vague or too general, in order to preserve the quality of the contribution, never because of its positive or negative character.

Would you recommend this retailers or service?

Would you recommend this retailers or service?
A
B
C

How often do you visit this retailer or use this service?


I confirm that this review reflects my real experience.

I confirm that this review reflects my real experience.

I accept the campaign participation rules.

I accept the campaign participation rules.

I agree that TV Reviewers may contact me again if necessary as part of this campaign

I agree that TV Reviewers may contact me again if necessary as part of this campaign

I agree that my review may be used anonymously within BuyTryShare, subject to validation.

I agree that my review may be used anonymously within BuyTryShare, subject to validation.