Name

Daytime Phone Number in case you have won!

Postcode

Participating Store
---918 Repair Station - Shepparton MarketplaceAJES shoesArcade FashionsAromeca – House to HomeAugustus GelateryAuski (Wayne Ritchies Skiers Edge) - City Central ArcadeAutobarnAutograph Fashion - City Central ArcadeBaby Bunting - Riverside PlazaBakers Delight - Riverside PlazaBakers Delight - Shepparton MarketplaceBarbeques GaloreBelle Brow Bar - Riverside PlazaBIG W - Shepparton MarketplaceBill & BeatsBlizzards Fine JewellersBlossom with LoveBoost Juice - Shepparton MarketplaceBottle-O WarehouseBoutique on BinneyBright Eyes Hairdressing - Riverside PlazaBWS - Shepparton MarketplaceCafé Piazza - City Central ArcadeCafé Three620Central Tyre ServiceChas Cole CellarsChemist Discount Centre - Shepparton MarketplaceChemist Warehouse - Riverside PlazaCignall Specialist Tobacco - Riverside PlazaColes - Riverside PlazaColes CityColes Express - Riverside PlazaColes Liquorland - Riverside PlazaCollins BooksellersConnor - Shepparton MarketplaceCreative Nails & Waxing - City Central ArcadeDarby PaintsDotz for KidsEarly Settlers - Shepparton HomeEnvisage FurnitureEvans ShoesEvery Day SuppliesFair Price Furniture - Riverside PlazaFairleys IGAFamily Care Pharmacy - Safeway PlazaFantastic Furniture - Shepparton HomeFiner FruitFinnysFit & FollyFocus Cards & GiftsFocus on Furniture - Shepparton HomeFoodworks TaturaForty Winks - Riverside PlazaFun Planet - Riverside PlazaGloria Jean's Coffee - Maude Street MallGloria Jean's Coffee - Shepparton MarketplaceGodfreys - Shepparton HomeGV Chagrilled Chicken - Safeway PlazaGV MeatsHair by FaithHair Health by Juliet - City Central ArcadeHarvey Norman Bedding - Riverside PlazaHarvey Norman Computer - Riverside PlazaHarvey Norman Electrical - Riverside PlazaHarvey Norman Flooring - Riverside PlazaHarvey Norman Furniture - Riverside PlazaHouse - Shepparton MarketplaceInspired by FashionIntersport SheppartonJay Jay's Korner - City Central ArcadeJay Jays - Shepparton MarketplaceJaycarJoe Paul MenswearJust Cuts - Shepparton MarketplaceKaisercraft - Riverside PlazaKaties - City Central ArcadeKebab Boyz - Riverside PlazaKFC - MooroopnaKFC - Riverside PlazaKFC CityKFC NorthKiddie CultureKruegers Fine Meats & Small GoodsKyabram Lucky LottoKyabram NewagencyKYO Sushi - Shepparton MarketplaceLovell's Newsagency - Shepparton MarketplaceLowes Menswear - Shepparton MarketplaceLush Skin and Laser ClinicMarket Meats - Shepparton MarketplaceMichael Hill - Shepparton MarketplaceMooroopna HardwareMrs Fields - Shepparton MarketplaceMuffin Break - Riverside PlazaMuffin Break - Shepparton MarketplaceNando'sNatural Solutions - City Central ArcadeNoni B - City Central ArcadeOMF - Shepparton HomeOpen House KyabramOptusOscar Wylee - Shepparton MarketplacePack & SendPental Factory SalesPets Domain - Shepparton HomePhillips CellarsPhone Freaks - Riverside PlazaPillowtalk - Shepparton HomePinch of SaltPlatypus - Shepparton MarketplacePlaza Fish Shop - Safeway PlazaPlus Fitness 24/7 - Riverside PlazaPlush - Shepparton HomePoolwerxProuds JewellersPurdeys Hourglass JewellersRevolver (Burger) - Shepparton MarketplaceRiverside Newsagency - Riverside PlazaRockmans - City Central ArcadeShepparton Amcal PharmacyShepparton Camera HouseShepparton Flooring XtraShepparton Kebabs - Safeway PlazaShepparton Plaza Lotto - Safeway PlazaShepparton Skin and BodyShepparton Sewing CentreShop 221Solar City Marine & CaravansSPC Factory SalesSPC KidstownSpecsavers - Shepparton MarketplaceSpotlightStephen's Jewellers - Shepparton MarketplaceStephens JewellersStrandbags - Shepparton MarketplaceSunrise Mobile - Shepparton MarketplaceSuper Variety & Party Shop - Riverside PlazaSupre - Shepparton MarketplaceSuzanne Grae - Shepparton MarketplaceTaking ShapeTatura HotbreadTelstra - City Central ArcadeTelstra Shop - Shepparton MarketplaceThe Athletes FootThe Main Course Butchery - Riverside PlazaThe Reject Shop - Riverside PlazaThe Scrap RoomTotal ToolsTraffikTrellysTSG Shepparton - Safeway PlazaUltimate FastenersUrban Wrap & Grill - Shepparton MarketplaceVerney Road MilkbarW & R Beauty Nails - Riverside PlazaWasai Sushi - Riverside PlazaWB HuntersWendy's Milk Bar - Riverside PlazaWhats NewWok n'Roll - Shepparton MarketplaceWoolworths - Safeway PlazaWoolworths - Shepparton MarketplaceWyndham DecorZen's Healthy Massage - Riverside Plaza

Amount Spent
(min $10 spend, do not include $)

Date of purchase

Photo of receipt (please ensure date and amount spent is clear)