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Application Form for 2017 National Churros Eating Championship
Terms and Conditions:

1. Spend any amount in any Street Churros stores in Malaysia. (Please write down your receipt number and date of purchase to complete the application form)
2. Each application requires three (3) members to form a team to participate.
3. Three (3) teams will be selected for each preliminary round of competition in each Street Churros store as stated below.
4. Selection of participants for this competition is solely at the discretion of the organiser and no objections will be entertained.
5. Applications without contact numbers and email addresses will not be considered as successful participants shall be notified by phone or email only.
6. The winner from each Preliminary Round in each Street Churros store shall qualify for Grand Finals and stand a chance to win FREE Churros for 1 year.

Locations of Preliminary Rounds:
1) Street Churros @ Berjaya Times Square
- 3pm, 15th of July 2017
(Submit application by 9th of July 2017)

2) Street Churros @ 1 Utama
- 3pm, 22nd July 2017
(Submit application by 16th of July 2017)

3) Street Churros @ Empire Shopping Gallery, Subang
-3pm, 29th July 2017
(Submit application by 23rd of July 2017)

4) Street Churros @ IOI City Mall, Putrajaya
- 3pm, 5th August 2017
(Submit application by 30th of July 2017)

5) Street Churros @ MyTOWN Shopping Centre, Cheras
- 3pm, 12th August 2017
(Submit application by 6th of August 2017)

6) Street Churros @ Sky Avenue, Genting Highlands
- 3pm, 19th August 2017
(Submit application by 13th of August 2017)


Please note of the closing dates of the submission of application above. Late applications will not be entertained.

Please contact Ms Izzati: 017-4905098 or Ms Choco: 018-6699290 for any inquiries.

You may be the 1st National Churros Eating Competition Winner, Good luck and JOM CHURROS with us!

Name of the Team
Your answer
Name of Team Leader
Your answer
Age of Team Members
Your answer
Contact Number
Your answer
Email Address
Your answer
Other 2 Team members" names and contact numbers
Your answer
Hobbies/ Interest?
Your answer
Your answer
Are you a fan of Street Churros? If yes, what is your favourite Menu?
Your answer
How many meals can you eat in a day?
What dessert you like best after a meal?
Your answer
Do you know any Facebook food page? If yes, please list down:
Your answer
Do you always hang out with your team members?
Describe 2 of your team members in three words.
Your answer
Have you joined any eating competition before?
Why do you want to join this eating competition?
Your answer
Which outlet does your team prefer to join the preliminary round of this competition?
What is your Street Churros receipt number and date of purchase?
Your answer
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