Congratulations you are just one step from Entering the competition
By simply filling out the form below you will be entering the online competition
Ensure you keep your till slip as proof of purchase as you will be required to produce these to collect your prize should you be a winner

terms and conditions

First Name *:
Last name *:
Bownus Night Outlet/Shop (Must be participating Outlet) *:
Date of Purchase eg: 04/11/2010 (Must be a purchased made on a Thursday after 5pm in a participating store) *:
Time of Purchase *:
Total value of purchase (on till slip) *:
Contact e-mail address *:
Contact Phone Number *:
You can nominate a particpating outlet as your favourite Bownus Night outlet if you wish please do so below
My favourite Bownus Night Outlet is:
Skill Question: Complete this sentence in the box below>>
Bownus night every TH.R.... in Rotorua City !
Answer *:
I have read and agree to the terms and conditions of the competition *:	Yes
terms and conditions PEASE NOTE : There are NO SPACES in the image verification code.
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