Philips - Magazine supscription

Purchase between 1st April and 31st May 2012 to qualify and claim within 14 days of purchase.
*Gift Card is awarded in the form of an eftpos Gift Card. Magazine subscription available on a selection of popular titles. (See full terms and conditions)

Claim Form

All fields are mandatory

First Name

Last Name

Address

Suburb

State

Postcode

Daytime Tel/Mobile

Model Purchased

Airfryer

Juicer

Receipt No

Purchase Price $

Date of Purchase

Store Name

Store Location

Please select your preferred reward. Tick one box only.

6 Month Bonus Magazine subscription

$30 gift card

I would like to be kept up-to-date on the latest Philips news, updates, promotions and surveys.
Philips values and respects your privacy. Visit www.philips.com.au/privacypolicy for more information.

Please select your age group

18-25

26-35

36-50

50+

I agree to the terms and conditions

I agree that my information may be used in any media for future promotional, marketing and publicity purposes by Philips - Saeco Australia Pty Ltd.

Confirmation
Thank you, your form has now been submitted online.

Now print your completed Claim Form (above) and mail it along with your original purchase receipt, a self stamped addressed envelope and cut out the barcode from the qualifying product's packaging to:
Philips Airfryers & Juicers Promotion,
PO Box R446, Royal Exchange NSW 1225

All four items must be included in order to make a claim. Claims must be received within 14 days of purchase

We have already received your request