Win Champagne

As a small business we are very keen to keep abreast of what people are thinking / saying about us. The wedding market is quite small and we aim to react very quickly if we aren't supplying exactly what modern couples are looking for.
 
In return for answering a few short questions, each month we place all respondents in a hat, and pull out one lucky winner who will receive a bottle of Moet et Chandon Champagne as a thank you for your time.
 
Absolutely none of the details we receive are sold on, passed on or distributed in any way shape or form.
 
Win Champagne
Name
E Mail Address
Date of Wedding
How did you hear about us?Magazine Article (Please state which)
Money Saving Expert
Comp website
Recommendation
Through "Tell a Friend"
Google Search for "Wedding Video"
Other (please state)
If "Other" or "Magazine Article" please tell us
Are you definitely having a videoYes
Unsure
What are the determining factors in your choice of video company
What are you thoughts, comments, suggestions for this site?