Name
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First Name
Last Name
Email
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Phone
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Date of Birth
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Please select a month
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Please select a year
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Year
Postcode
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Please choose one of the following that best describes you:
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Please Select
Male
Female
Non-Binary/Gender Diverse
Would rather not say
Do you have children that live with you?
*
Yes
No
Which brands do you typically prefer to shop with?
*
Brands like Kmart, Big W and Best & Less
Brands like Myer, Uniqlo and H&M
Brands like David Jones, Country Road and Seed
Where do you typically prefer to eat out?
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Places like Hungry Jacks, McDonald's and KFC
Places like Grill'd and Guzman y Gomez
Cafes and restaurants
Newsletter
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I have read and understood the Terms & Conditions and Privacy Policy.
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Please verify that you are human
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