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The membership is open only to Philippine residents.

Note: All fields marked with asterisk (*) are mandatory.

Salutation 
* Full Name 

(First Name)

(Last Name)

(Middle Name)
* Nickname :
* Address :
* City :
* Email 
Mobile  :
* Gender : Male Female
* Birthdate :
* Civil Status : Single Married Widow(er)
Do you work in a restaurant : Yes No

Please place a check in the box(es) of your choice

* 1. How often do you use Lea & Perrins Worcestershire Sauce?

Once per week or more often
2 to 3 times per month
Once per month
Once every 2-3 months
Once or twice a year

* 2. I use Lea & Perrins Worcestershire Sauce as... Check all that applies

Cooking Ingredient
Condiment (add-on to meat dishes i.e. steaks and burgers chops and chicken
Dipping Sauce (added onto other condiments i.e. Ketchup or steak sauce)
Marinade
Others, please specify:

* 3. Which of these Tomato Ketchup brands have you tried / used before? Check all that applies

Heinz Tomato Ketchup
Del Monte Tomato Ketchup
Hunts Tomato Ketchup
Others, please specify:

* 4. If you are buying Heinz Tomato Ketchup, what was your reason/s for buying/trying the product? Check all that applies

Easy to use / convenient
Price / value for money
Best quality
Just what I need
Healthy / Nutritious
Advertising
Have not used
Others, please specify:

* 5. If you are using Apple Cider Vinegar, which brand are you using and where do you use it

Others, please specify:
Where do you use it:

* 6. Which Culinary Magazine do you read most often?

Food
Foodie
Yummy
Cook
F&B World
Appetite
Others, please specify:

* 7. Which Newspapers do you read most often?

Philippine Daily Inquirer
Philippine Star
Manila Bulletin
None
Others, please specify:

* 8. What types of promotions attract you the most?

Bundled Packs (with recipe feature)
Bundled Packs (with other premium items)
Raffle Promos (to win home appliances)
Raffle Promos (to win a vacation package)
Price-Off Promotions (discounts)
Value Pack / Promo Packs
Others, please specify:

* 9. What cuisine types interest you the most?

Filipino
American
Chinese
European
Japanese
Others, please specify:

10. What would you like us to include more of or feature in Lea & Perrins Kitchen website?

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