THE MOUSETRAP - APPLICATION FORM

ANT & DEC’S SATURDAY NIGHT TAKEAWAY

AS YOU ARE NOMINATING SOMEONE TO PLAY THE MOUSE

TRAP, THIS APPLICATION PROCESS MUST REMAIN A SECRET!

YOUR DETAILS

Name: debbie christie

Date of Birth: 08/03/1973

Email address:
d_ebbie@hotmail.co.uk
Mobile phone number:
07954151084
Home Number: 01207 232054

Work Number:

Address: 3 wardle street, old south moor, stanley, county durham, dh9 7ex

Marital Status:married

Children (names and ages): lauren14 lewis 12

Occupation: admission clerk

What are your favourite TV shows:saturday takeaway, most haunted,

kitchen nightmares, deal or no deal

PLEASE ATTACH A RECENT PICTURE OF YOU AND THE PERSON YOU

ARE NOMINATING TO THIS FORM
THE PERSON YOU ARE NOMINATING TO PLAY THE MOUSE TRAP

Who are you nominating to play The Mouse Trap?

Name: mark brown

Age:
34
Occupation:
bus driver

Address: 13 burns close, east stanley, county durham

Postcode:

Phone number: 01207 232841/07783430744

Marital Status: living with fiancee

Children (names and ages): none

How do you know this person? brother

How do you think they would react to being surprised? he will love it, he will
find it very amusing, it would be good to see him in the mouse costume i
could rib him forever

Are they physically fit? (note – this does not affect their eligibility) yes

How would you describe them in three words? funny, irritating, annoying

What do they like to do in their spare time? the internet, taking his dog
for a walk

Why do you think they would be the perfect person to play the Mouse Trap?
he would enjoy it,we would love a photo of him in the mouse costume, he
always plays jokes on other people so it would be good if it was the other
way round hahaha
What do you think they would spend the money on?

his house, they have recently just moved in

What are their favourite TV shows?
everythingmy

Have you got any parties or special events coming up in 2009 (Weddings,
birthdays, anniversaries etc)?
my mams and my birthday in march

DON’T FORGET TO ATTACH A RECENT PICTURE!

PLEASE RETURN THE FORM TO:

takeaway@itv.com

Full terms and conditions at www.itv.com/terms