Built Tough Entry Form

Please complete the form below. ALL fields required to be completed.
You will receive an onscreen confirmation when we’ve successfully received your entry.

First Name:
Company Name:
Suburb:
Contact Phone:
Email:

Last Name:
Address:
City:

Please select from the drop down box below which product group your purchase of over $200 (on one invoice) was of:

Only these products (including a combination of these products) in the drop down box above qualify for entry into this promotion. If your purchase was a combination of the above, please just select the product group that was the largest portion of the total invoice.

Invoice Number:
Wholesaler purchased from:
Total value of promotion product purchased on invoice: $

Please tick to confirm you have read and understand the Terms and Conditions