EmailMe Form - PX Living With Application

What product are you applying to Test? *

What is your VIP Number? *

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone Number *

Your Age *

Email Address *

The DOB and Gender of child who will use the Vista: *

If pregnant, what is your due date? *

Details of any other children:

Have you ever been involved in any other testing programs? Please include links if you can. *

Why would you make a great tester? *

Please review in 150 words or less the pushchair you currently own, or one from a friend or family: *

Please upload a video of you reviewing an aspect of your current pushchair

Please upload two photos to go with your review. *

Do you agree to the following terms and conditions? *

Yes I agree to the Living With Terms and Conditions

LIVING WITH TERMS AND CONDITIONS
1. The Pushchair remains the property of the supplier at all times.
2. You cannot use a Toddler Board of any sort on the Pushchair.
3. As a 'Living With' you have a smartphone and/or laptop and the ability to email written and video updates for a period of 3 months.
4. The 'Living With' testers agree to update the Pushchair Expert website a minimum of 4 times in every month for a period of 3 months.
5. The content of the 'Living With' reviews is the sole property of Pushchair Expert. If a tester wants to replicate the content they are creating on the Pushchair Expert website in areas such as blogs, Facebook pages and articles, they must seek permission from Pushchair Expert beforehand.
6. Any breach of these terms and conditions will result in the tester forfeiting the use of the Pushchair. It will immediately be collected at Pushchair Expert's cost.
7. In the event of point 6, Pushchair Expert and the supplier are not responsible if a tester does not have a replacement pushchair.
8. The Pushchair will be with the tester for 3 months from the date of delivery. After this it can be returned at Pushchair Expert's cost.
9. You are happy for photographs of you and your children to appear on the Pushchair Expert website and Facebook page.
10. You are happy to provide two forms of ID
11. These terms and conditions may be subject to change if required, successful applicants will be notified.
BY CLICKING SUBMIT, YOU ARE AGREEING TO BE BOUND BY THESE TERMS AND CONDITIONS IF YOU ARE SELECTED.