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Reason for Visit*

Account Number

If you have a loyalty card please enter the ID number printed on the reverse corner of your card (the last 6 digits after the bar code prefix displayed below). Otherwise leave it blank and we'll issue you a digital account number.

6000110000012

Assisted Registration

Did a member of staff help you complete your registration form?

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Yes

Staff Member

Please enter the name of the member of staff who helped you complete your registration.

Your Name*

First Last

Date of Birth

Your Email Address*

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Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone

Password*

Choose a password.

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Marketing & Promotions*

By ticking this box you agree to receive email communications and special offers. Your personal data will be stored and processed by our programme provider Inspire Loyalty and will be shared by a 3rd party organisation to fulfill email communications. By ticking this box and submitting this form you agree to all programme terms & conditions. To read our Privacy Statement please refer to the Terms & Conditions page of this website. You can unsubscribe at any time.

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Phone

This field is for validation purposes and should be left unchanged.

JOIN Swinton REWARDS