DouweEgberts - VDP Distributors

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First Name

Surname

Email

Cell Phone Number

Restaurant you are entering competition from:

Waitrons Name:

My favourite type of coffee to enjoy AT HOME is:

Instant coffee Coffee capsules Filter coffee Espresso based coffee drink I don’t drink coffee at home

Have you tried Douwe Egberts instant coffee?

Yes No I don’t know

What word best describes Douwe Egberts instant coffee to you?

Innovative Luxurious High Quality Best Instant Coffee taste Not Great None of the above

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Product I am interested in...