Provide data to the registration receipt in contest Balcerzak

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Please Select Athlone Blanchardstown Mountview Bray Carlow Clondalkin Dundrum Mullingar Naas New Ross Newry Portlaoise Sligo Tallaght Belgard Square Tullamore WalkinstownArtaneBallymenaBlanchardstown CoolmineCavanCork BlackpoolCork Kinsale Cash & CarryEastore by Polonez NavanEastore by Polonez SantryEastore by Polonez SwordsFinglasFonthillGalway DoughiskaGalway Tuam RdGalway WestsideGoreyLimerick Childers RdLimerick Park LodgeLurganLuskMary StreetMoore StreetNavan RoadPolonez Belfast Boucher CrescentPolonez DungannonPolonez LongfordRailway St (Centre)RathminesTallaght Arena
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	I declare that I have read and accept the Terms and condition of the competition and I consent to the processing of my personal data by Polonez Group.
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	I agree that Polonez Group may send me information of promotions, special offers, discounts, new products etc which may be available from time to time in our stores.