Choice Rewards Application Form

Fill in this form to join Choice Rewards. Enter the required details on the line below.

Using this on-line application form, you will not be required to fill in a paper form and send it back to us.

The red star * denotes required information.

About Yourself Title * Surname * First name * Street/Address line 1 * Address line 2 * Address line 3 * Postcode * Date of Birth (DD/MM/YYYY) * Telephone number (UK only, no spaces) * Mobile number (UK only, no spaces) Email address *

Your Partner

Would you like to include a partner in your Choice Rewards application? (Optional)

Tick to include your partner and enter their details below. Title Surname First name If your partners address and contact details are the same as your own, tick here for them to be used.

Street/Address line 1 Address line 2 Address line 3 Postcode Telephone number (UK only, no spaces) Mobile number (UK only, no spaces) Email address

Date of Birth (DD/MM/YYYY) Wedding Anniversary (DD/MM/YYYY)

Number/age of dependants Child 1 age Child 2 age Child 3 age Child 4 age

Communication preferences

Tick all that apply

By post By e-mail By text message

Holidays and Hobbies

Tick all that apply

Where do you visit Choice Hotels?

Blackpool Lake District

Which hotels have you visited?

Cliffs Claremont Viking Patterdale Keswick Country House

At what time of year do you visit Choice Hotels?

Summer Winter Spring Autumn Illuminations Christmas & New Year

What kind of holiday do you take with Choice Hotels?

Weekend Midweek break Other (describe below) Describe:

How many times have you visited a Choice Hotel in the past year?

1 2 - 4 More than 4 How many?

How many holidays have you taken in the past year?

1 2 to 4 More How many?

Your Preferences

Tick all that apply

	Yourself	Partner
Shopping
Golf
Swimming
Other Sports
Bowls
Indoor Bowling
Walking
Theatre/Live shows
Comedy
Horse Racing
Food/Wine
Theme Nights
Fun fairs and amusements
Areas of national beauty
Spa and beauty treatments

Your Favourite Drinks

Tick all that apply

	Yourself	Partner
Draught beers
Bottled beers
Alcopops
Gin/Vodka/Bacardi
Whiskey/Brandy
Wine
Sparkling Wine

Newspapers You Read

Tick all that apply

	Yourself	Partner
Daily/Sunday Mail
Times
Sun
Mirror
People
Daily/Sunday Express
Telegraph
Other

Check & submit application

You must read and agree to the Terms and Conditions before you continue

Choice Rewards Application Form

Dedicated Lo-call telephone number for 'Rewards' information and reservations

0845 604 11 44