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    L2 Contact Tracing Form

    Dear Customer

    Thanks for visiting our store and supporting our business as we all recover from the Covid-19 lockdown.

    For Contact Tracing purposes, you are required to register your details below.

    This information will be held confidentially and for 2 months only prior to being disposed of.

    If requested, it will be shared with the Ministry of Health OR District Health Board during this time.

    If you DO NOT agree to register your details as required, please DO NOT enter the store.

    We will be more than happy to process a transaction for you online.

    First Name:
    Last Name:
    Address:
    City:
    Country:
    Mobile:
    Email:


    Thanks very much for your co-operation and we wish you and yours the best in the coming months.