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Monitoring form: Shops

Your name and contact details will not appear in BFLG's published reports.

Generally these type of violations will not be sent to Trading Standards by us as they should be handled by your local Trading Standards office.

Required details

Enter your name here:

Monitors identity number (if one has been assigned to you):

Please continue to the 'details of promotion' section if you have a monitors identity number or have given the following information before on a monitoring form.

Enter your email address here:

Re-type your email address here:

Your telephone number:

Optional details

Position:

Organisation:

Details of promotion

Name of shop:

Town/village:

Date visited: / / (dd/mm/yyyy)

The Code and Resolutions prohibit: point-of-sale advertising, giving of samples, or any other device to induce sales of breastmilk substitues (infant formula, follow-on formulas, other bottle-fed complementary foods and foods promoted for use before 6 months of age) or feeding bottles or teats. Please give details of any such promotion:

Infant formula promotion:

Manufacturers name:

Product name:

Type of promotion (select one):

Description (give further details here, if necessary):

Can you send a photograph/material? Yes No

Follow-on formula or other infant milk promotion:

Manufacturers name:

Product name:

Type of promotion (select one):

Description (give further details here, if necessary):

Can you send a photograph/material? Yes No

Baby food promotion:

Manufacturers name:

Product name:

Indicated age of use:

Type of promotion (select one):

Description (give further details here, if necessary):

Can you send a photograph/material? Yes No

Feeding bottles and teats promotion:

Manufacturers name:

Product name:

Type of promotion (select one):

Description (give further details here, if necessary):

Can you send a photograph/material? Yes No

Before submitting the form, you may wish to print this page for your own records.

If you have photographs or materials to support your report, please send this by email to mikebrady@babymilkaction.org or to the address below. Include a note giving your name and the date you submitted this form. If you are sending a lot of materials, please attach a copy of this form to the relevant pieces or otherwise clearly identify them. Materials should be sent to:

BFLG Monitoring,
c/o Baby Milk Action,
34 Trumpington Street,
Cambridge,
CB2 1QY.

Many thanks for your information.

Please check this box if you have reported the above violations to your local Trading Standards office - click here to send a report via the Trading Standards website, or find the number in your telephone book.