EmailMe Form - Apply for the SMOLKE DIERVOEDING campaign

Name *

First Last

Please fill in your REAL name and the same name as on your sign up on the petsfluence database.

Address *

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

Email *

Phone *

### - ### - ####

We need your phone number because you will get contacted for the hour and date of delivery

Social media handle *

Cat or dog?
Or both? *

When choosed both know we only accept if you had both pets displayed on your feed at least 5 times before you sign up to this deal.

Followers count *

Tell us about your pet(s)

I agree with the terms and conditions as well with the privacy statements of the petsfluence platform. You can find this back on the website www.petsfluence.eu *

I AGREE

I know that this campaign is only for who lives in the Netherlands and Belgium (dutch part) and smolke will choose the food they send me. (If choosed you will be given the chance to give info about your pet to know what food needs to be sent out) *

YES