First Name
*
First Name
Last Name
*
Last Name
Gender
*
Male
Female
Other/Non-Binary
Prefer not to say
Gender
Date of Birth
*
Date of Birth
Mobile Number
*
Mobile Number
Email Address
*
Email Address
Address
*
Address 1
Postcode
*
Postcode
State
*
State
I am 21 years of age or over.
*
If I successfully call 46 289 913 within 9 minutes and 13 seconds of hearing my name on-air, I understand I will be required to attend the major prize draw at Wests League Club on Friday 2nd October, and I cannot send a person on my behalf.
*
I have read and understood the full terms and conditions of the promotion and prize.
*