Age Restricted Products Questionaire

We need your help

Tell us about shops selling age restricted products to children
You can help us to stamp out illegal sales and also protect the health of children. We would like to hear from you if you have information relating to the illegal selling of age restricted products to children from shops, or other premises including houses.

No information - however trivial it seems - is too small, and it could be the key to stopping illegal sales to children.

Any information received will be treated in confidence and you can provide it anonymously if you prefer. The relevant products are listed in the questionnaire below.

You can contact us in several ways and also specifically as follows :

	A specialist officer is available on 0191 424 7895 during normal office hours
	Our free confidential hotline 0800 093 5878 available 24 hours
	Online using the following form

Please fill in the form below and then click on the Send button.

Details about the seller:

Shop :
Location:

Which of the following age restricted products are being sold?

Alcohol :
Cigarettes and tobacco :
Fireworks :
Gas lighter refills :
Knives and blades :
Lottery tickets and scratchcards :
Solvents :
Videos, dvds and computer games :

Please describe all the information you have including how you know this and who is actually selling :

Your Details :

We may have need to contact you for further information and we would ask you to provide details on how we can contact you. All information provided will be dealt with in strictest confidence. If you prefer to remain anonymous you may do so.

Your name :
Address :


Tel No :
Email :

Thank you for your time and co-operation,

Now click on the 'Send Views' button below.

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