MyGreenPartner - Sign form

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Please fill you details so we can send you more information and let you know when we are ready to deliver you at your door your 100% Packaging & Carbon FREE shopping :)

FIRST Name (or Nickname) ? *

We will use this to address you in our follow-up discussions :)

LAST Name ? *

Your Email ? *

We will ONLY use this to send you information about us and our service - not for third party marketing purposes

What is your postcode ? *

So we can let you know when we start delivering in your neighbourhood :)

Phone Number

Not Mandatory - but we can also update you by text of our latest news etc...

Would you like to receive any of the following news in the future ? *

Happy to receive all your communications

News about MyGreenPartner service

Notifications about new products & shops

General updates about what is happening in your neighbourhood

Just let me know when you can deliver at my place

I do not want to receive any emails

Required

Do you have your own reusable jars/containers ?

Yes

Some of them only

No, none

Clear selection

How often do you think would you be refilling your grocery jars ?

Couple of times a week

Once every week

Twice a month

Once a month

Clear selection

Submit

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