CigarsUnlimited Registration Form
To conform with the provisions of the Tobacco Advertising and Promotion Act of 2002 we ask that clients register with us if they wish to order or receive our Price List / Brochure for tobacco goods or receive information about products, items and events which may be of interest to cigar smokers. We will not divulge or use this information for any other purpose. Your details will be held as confidential and not provided to any third party. We appreciate your assistance in enabling us to conform with this legal requirement. CigarsUnlimited.
Name:
Address:
Postcode:
Country:
Telephone Number:
Email Address:
Age:	18-34 34-54 55 or over
How long have you smoked Cigars?
What is your preferred brand?
Do you smoke:	daily weekly monthly occasionally
Where do you buy your cigars?	UK Abroad