Farmers Birthday Celebration

Spend $100 at Farmers in a single transaction between 30 September - 19 October 2010, fill out the the form below,
and you'll be in the draw for your chance to win one of:

• 3 Volkswagon CrossPolos
• 3 one carat diamond Solitaire rings
• 1000 Farmers 100 Year Centennial books
• 100 $100 Farmers Gift Cards

Every $100 gives you a chance to win. Just enter your transaction details once and we'll automatically give you the right number of chances!

Even more ways to win at Farmers!

Tick the box below to join the Farmers eClub, and you'll also be in the draw to win a $200 Farmers Gift Card!

Competition Entry Form

• Transaction Number
  (Under the barcode on your receipt) *   -   -   *  
• 
  Transaction Value $     
•  
• Title Please Select Miss Mr Mrs Ms  
• First Name  
• Last Name  
• Phone  
• Email    
• I would like to join
  the Farmers eClub
• 
  I have read and agree to the terms and conditions  
• 
  All fields in bold must be completed.
•