Intel Competition Form

CheckArray["answer"] = "Answer"; CheckArray["last_name"] = "Last Name"; CheckArray["generic8"] = "Company Name"; CheckArray["phone"] = "Telephone"; CheckArray["email"] = "Email"; emailCheckArray["email"] = "Email"; CheckArray["address1"] = "Address"; CheckArray["city"] = "city"; CheckArray["country"] = "Country"; CheckArray["postcode"] = "Post Code"; CheckArray["mobile_phone"] = "Mobile Phone"; Please fill out the form below for a chance to win a fantastic laptop Your answer: Please select an answer Goal A Goal B Goal C Goal D Goal E First Name: Last Name: Address:   Town/City: Postcode: Country: please select United Kingdom Abu Dhabi Afghanistan Albania Algeria Andorra Angola Antigua Argentina Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroun Canada Cape Verde Islands Cayman Islands Central African Republic Chad Chile China Colombia Congo Congo Democratic Republic Costa Rica Croatia Cyprus Czech Republic Denmark Djibouti Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Guadeloupe Guatemala Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Kazakhstan Kenya Krighizia Kuwait Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldavia Monaco Morocco Mozambique Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Nepal Niger Nigeria North Korea Northern Yemen Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Reunion Romania Russia Rwanda Sao Tome Island Saudi Arabia Senegal Serbia Seychelles Singapore Slovakia Slovenia Somalia South Africa South Korea Southern Yemen Spain Sri Lanka St Kits St Lucia St Maarten St Vincent Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Trinidad Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates United States Uruguay Uzbekistan Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Other Country... E-mail Address: Mobile Number: If you wish to receive any communications relating to West Ham United or any other companies, services or products related to West Ham united please tick here