Entry form

Personal Details
Purchase Details
*
Required fields

Your privacy is important to us. Mondelez Australia Pty Ltd will use the information you provide to conduct the promotion. For this purpose, your information may be disclosed to persons within the Mondelez International group of companies or their service providers and suppliers only, unless otherwise required or permitted by law. Any personal information collected will be used, disclosed and held in accordance with this Information Collection Statement, and our Privacy Policy. If you wish to access or change the information which Mondelez Australia Pty Ltd holds about you, please call 1800 250 260 or write to Mondelez Australia Pty Ltd to submit a request.

Receipt Upload
?

Scan or take a photo of your purchase receipt or original product packaging, then use this button to browse for the image. Your image will be automatically uploaded once selected.

If you want to change the image you have uploaded, simply use this button to choose a new image and your image will be replaced.

Images must be in JPEG, PNG, or PDF format; maximum file size is 5 MB

Files must be less than 5MB. Allowed file types: JPEG, PNG, PDF

PLUS $100 free fuel to be won every hour between 8am - 6pm
Image is for illustrative purposes only