Sign up to our gluten free forum

* Title:

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If you would like to access our please provide us with a username and password.

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If you'd like to register your full details with DS-gluten free, we will send you a box of samples and money off coupons

* House Name/Number:

* Address 1:

Address 2:

* Town:

* County:

*Gender

*Date of birth:

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Why do you follow a gluten and wheat free diet?*

I have coeliac disease

I have a wheat allergy or intolerance

I am gluten sensitive

I choose to follow the diet

Other (please specify)

Which of the following supermarkets do you shop in most often?*

Other (please specify)

I'm registering on behalf of a child

Yes (please tick)

My diet must be

Gluten free	Wheat free	Milk free	Soya free
Egg free	Lactose free	Nut free	Other
(Please specify)

Are you able to recieve gluten-free food on (please tick all that apply)

GMS

Drug payment scheme

Tax relief via stores

When we have details of special offers and new products we will contact you to let you know. We use post, email, SMS and phone depending on what we plan to tell you. We won't bug you and won't give your details to anybody else - we promise.

If you prefer not to be contacted by any of the following methods then tick the appropriate box(es) below.

Telephone

SMS/Mobile

When you register with us, we will send you information from our sister brands, Glutafin and TRUfree. Both of the brands offer a delicious range of gluten free products and we'll only send you relevant information such as new gluten free products, events and special offers. We never pass your details on to third parties. If you would prefer not to receive information from our sister brands, please tell us by ticking the boxes below (note: we will send you Glutafin information when we send out your DS-gluten free coupons but you can tell us if you would prefer not to receive any information about Glutafin after this).

Please don't send me information about:

Glutafin

TRUfree

* = required information

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