Congratulations you are just one step from claiming your Prize

By simply filling out the form below you will be on your way to receiving your prize
once we have your details we will contact you to make final arrangements to claim your prize.

Ensure you retain your scratch ticket and proof of purchase as you will be required to produce these to collect your prize

terms and conditions

First Name *:
Surname *:
Outlet where scratch ticket was issued *:
Date of Purchase *:
Value of Purchase *:
Select Prize indicated on Scratch Ticket *:	$1000 Shopping Spree Instant Prize Key Holder - Chance to Win Mega $5000 Prize Package Qualify to enter draw for a trip for 2 to Sydney
Contact e-mail address *:
Contact Phone Number *:
Skill Question: Complete this sentence in the box below>>
Rotorua International Airport fly's direct to Sy_ _ey every T_ _ _day & Sat_ _day.
Answer *:
I have read and agree to the terms and conditions of the competition *:	Yes
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