Please fill in the highlighted fields.
First Name*
Last Name*
Email*
Street Address*
Suburb*
State*
Postcode*
Contact Phone Number*
Last 4 digits from barcode*
Receipt number*
Yes I am over 18, if not I have written permission from a parent or guardian over the age of 18 to enter, I have read and agree to the
Terms and Conditions
and
Privacy Policy
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Note: Important conditions apply. Please read full conditions
here
before entering this promotion. Promotion commences 01/03/10 and closes 23.59pm (AEDST) 29/03/10. Entrants under the age of 18 must obtain prior written permission from a parent or guardian over the age of 18 to enter. All entrants must retain a photocopy of purchase receipts (showing purchase date, time & store) for all entries for verification. Open to Australian residents only.
