Win a bottle of Champagne!

We are giving away a bottle of Champagne each month!

For your chance to win, simply complete the customer satisfaction form below each time you visit a Les Routiers establishment, and your name wil be entered into our prize draw.

See below for terms and conditions.

Title
Your Name*
Email
Address 1*
Address 2
Town*
Post Code*
Country*
Telephone
Name of establishment visited
What rating would you give the level of service received?	Excellent Good Satisfactory Unsatisfactory
What rating would you give the quality of drinks?	Excellent Good Satisfactory Unsatisfactory Not applicable
What rating would you give the quality of food?	Excellent Good Satisfactory Unsatisfactory Not applicable
What rating would you give the level of cleanliness?	Excellent Good Satisfactory Unsatisfactory
How did you hear about this establishment?
How many times have you visited?
Would you come back again or recommend family/friends?	Yes No
What rating would you give for your overall experience here?	Excellent Good Satisfactory Unsatisfactory
Additional comments
How did you hear of Les Routiers

Terms & Conditions
Competition only open to persons 18 yrs or over resident in Great Britain and Northern Ireland
No cash alternative available
Winner will be notified by the last working day of the month.

Created with Site Editor Website Builder