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Panel form

* Title:
* First name:
* Surname:
* Gender:
* Age range:
* Number of adults in household (18+):
* Number of children in household (0-17):
* On average, how often do you visit one of our stores?
* On average, how much do you spend in a single visit?
* Where do you do the bulk of your food shopping?
Which other supermakets do you use frequently?
Are you a member of Central England Co-operative?
Membership number:
Telephone number:
* Email:
Check the box if you agree to:

Talk Back Member

Spaces on the customer panel will be limited. Those that register their details will be contacted if they have been successful. Talk Back members will be required to complete a survey once a month online and may be requested to attend a listening group or conference calls. Talk Back members will also be asked to take part in an accompanied shop once in any six month period. Participants are rewarded with a 10% off their shopping voucher for each survey and with £10 gift voucher for attending listening events or accompanied shops. There is an enhanced surprise reward for members who complete all 6 surveys in a six month period. Rewards are subject to change.

The detail of those that have registered but have not been successful may still be contacted by Central England Co-operative with news and promotional messages. To opt out please email

Privacy and data protection

Central England Co-operative operates and is registered in accordance with applicable data protection legislation under the Data Protection Act 1998 (DPA).For the purposes of this website, “we” and “us” refer to Central England Co-operative and “you” refers to our customers, members, colleagues and other users of our websites.

We take our customers' rights to privacy very seriously, and take all reasonable steps to protect those rights for users of our websites.

How we collect and use personal data

If you subscribe to a newsletter, enter a competition or complete a survey, we may ask for your name and contact details, and members may be asked to supply their membership card number or share account number. We will not ask for any more information than we need to provide the service.

For more information please visit

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