BFBS Radio: X Factor Competition Entry Form

BFBS Radio X Factor Competition

X-FACTOR TICKETS

For your chance to win, answer the question on the video clip and fill in your details below - Good Luck.

Entry Form

Who was the winner of the X-Factor 2008?: *

A: Alexandra Burke

B: Michael Buerk

C: Kathy Burke

Title: *

First Name: *

Last Name: *

Your Connection With The Forces: *

Please describe your connection to the British Forces

Phone Number: *

Please Re-type Phone Number: *

We will need your phone number to call you if you are picked as a winner for the competition. Enter it twice to help prevent typing errors.

Preferred Venue & Date: *

Email Address: *

Address

Please supply us with a valid UK address.

House Number: *

Street: *

Town or City: *

Post Code: *

Can we contact you in the future?: *

Yes

Please tick here if you are willing for BFBS to contact you with regards to future promotions. BFBS will not use your contact details for any other purpose or pass your contact details onto any other third parties.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What code is in the image?: *

Copy the characters (respecting upper/lower case) from the image.