To claim your Cash Back, please complete below.
To complete the registration, you will need details of the purchase including the model number, date purchased, price, store name and store location.

You will need to upload your purchase receipt showing 100% payment.
Simply scan or take a photo of your receipt and upload it before submitting your claim.

Your Details

First Name *
Surname *
Address 1 *
Address 2 (only if required) *
Suburb *
State *
Select State  
Postcode *
Contact Phone *
Email * - Be sure to use a PERSONAL email address. It will be used to send you your Cash Back transfer options.
Confirm Email *

Product Details

Where did you make your purchase? *


Purchase Date *
Model *
Select Model  
Purchase Price ($) *

Store Details

Store location State *
Select Store State  
Store Location (Select Store State First) *
Select Store Location  
Store Name* (Select Store Location First)
Select Store Name  




* Mandatory

Upload Your Receipt

Scan or take a photo of your receipt and upload it here.

It is important to ensure the image is in focus so it may be used to validate. (image formats: .jpg, .jpeg, .png, .gif, .pdf, .tiff)

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