www.billyandmargotpromotion.com.au
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104.21.58.196
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Submitted URL: https://billyandmargotpromotion.com.au/
Effective URL: https://www.billyandmargotpromotion.com.au/
Submission: On September 08 via automatic, source certstream-suspicious — Scanned from AU
Effective URL: https://www.billyandmargotpromotion.com.au/
Submission: On September 08 via automatic, source certstream-suspicious — Scanned from AU
Form analysis 1 forms found in the DOM
POST https://www.billyandmargotpromotion.com.au/REC0003/submit
<form autocomplete="off" method="POST" action="https://www.billyandmargotpromotion.com.au/REC0003/submit" accept-charset="UTF-8" id="claimForm" class="default validate ajax-submit" novalidate="novalidate"><input name="_token" type="hidden"
value="SXoLAj0BVrpmpleBoQV7MUgBIpfwqrib4UKlU0Lh">
<input name="_jwt" type="hidden" value="eyJ0eXAiOiJKV1QiLCJhbGciOiJub25lIn0.eyJpc3MiOiJTWG9MQWowQlZycG1wbGVCb1FWN01VZ0JJcGZ3cXJpYjRVS2xVMExoIiwianRpIjoiUkVDMDAwMyIsImV4cCI6MTY5NDMyMTE5OX0.">
<input id="_suburb" class="preventautocomplete" type="text" style="display:none;" diabled=""><input id="_password" class="preventautocomplete" type="password" style="display:none;" diabled="">
<div class="_mn_wrap" style="display:none;"><input name="_mn" type="text" value="" id="_mn"><input name="_mt" type="text"
value="eyJpdiI6Im9CdUxvejg3VUxqZC9lZ0dMRk5xZ0E9PSIsInZhbHVlIjoiK0hUdlZjTFRjZ3VDU2RQV1NDb3g5UT09IiwibWFjIjoiOGI5MmI0MzgxM2YxMzkwOWU4NzIwZWJlNmZhMjljYWEwNTExMjFhMzM3MTgwZGJkMDg2OGMwNDAxYjQyNGQzMyIsInRhZyI6IiJ9"></div>
<div id="formStepper" data-steps="">
<ul class="step-nav mb-4">
<li class="nav-item active">
<span class="d-block font-small-1 mb-1">Personal</span>
<a href="#formStep1">
<span class="num">1</span>
<span class="check animated bounceIn fast"><i class="mdi mdi-check"></i></span>
</a>
</li>
<li class="nav-item">
<span class="d-block font-small-1 mb-1">Purchase</span>
<a href="#formStep2">
<span class="num">2</span>
<span class="check animated bounceIn fast"><i class="mdi mdi-check"></i></span>
</a>
</li>
</ul>
<div class="step-panels">
<div class="step-panel animated fadeInRightShort faster active" id="formStep1">
<div class="row">
<div class="col">
<h3 class="text-center font-weight-bold text-primary mb-4">Personal Details</h3>
<p class="text-center font-weight-normal mt-n3 mb-4">Please note, competition is only open to Petbarn Friends for Life Members. Please enter the email address that is associated with your Petbarn account. Alternatively, new members can
join Friends for Life online <a href="https://www.petbarn.com.au/loyalty-program " target="_blank">here</a>.</p>
</div>
</div>
<div class="row">
<div class="col-lg-6 pr-lg-2">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="first_name" class="form-label">First name</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-account-outline"></i></span>
</div>
<input class="form-control border-left-0 pe-none" data-imask="^[a-zA-Z\-\.\,\'\s]+$" data-imask-regex="" required="" name="first_name" type="text" id="first_name">
</div>
</div>
</div>
<div class="col-lg-6 pl-lg-2">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="last_name" class="form-label">Last name</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-account-outline"></i></span>
</div>
<input class="form-control border-left-0" data-imask="^[a-zA-Z\-\.\,\'\s]+$" data-imask-regex="" required="" name="last_name" type="text" id="last_name">
</div>
</div>
</div>
</div>
<div class="row mb-2 mt-n1">
<div class="col">
<div class="form-group m-0 dob-row">
<span class="font-small-2 d-block ml-1">Date of birth:</span>
<div class="row">
<div class="col-4 pr-0">
<div class="form-group mb-1">
<select id="ag-d" class="select2 select2--below w-100 form-control form-control-lg rounded-left-2 select2-container--bootstrap4-lg select2-hidden-accessible" data-placeholder="Day" required="required" data-select2-id="ag-d"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="2">Day</option>
<option value="01">1</option>
<option value="02">2</option>
<option value="03">3</option>
<option value="04">4</option>
<option value="05">5</option>
<option value="06">6</option>
<option value="07">7</option>
<option value="08">8</option>
<option value="09">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 rounded-left-2 select2-container--bootstrap4-lg" dir="ltr" data-select2-id="1" style="width: 168.656px;"><span
class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-ag-d-container"><span
class="select2-selection__rendered" id="select2-ag-d-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Day</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-4 px-1">
<div class="form-group mb-1">
<select id="ag-m" class="select2 select2--below w-100 form-control form-control-lg select2-container--bootstrap4-lg select2-hidden-accessible" data-placeholder="Month" required="required" data-select2-id="ag-m" tabindex="-1"
aria-hidden="true">
<option value="" data-select2-id="4">Month</option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 select2-container--bootstrap4-lg" dir="ltr" data-select2-id="3" style="width: 175.656px;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-ag-m-container"><span
class="select2-selection__rendered" id="select2-ag-m-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Month</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-4 pl-0">
<div class="form-group mb-1">
<select id="ag-y" class="select2 select2--below w-100 form-control form-control-lg rounded-right-2 select2-container--bootstrap4-lg select2-hidden-accessible" data-placeholder="Year" required="required" data-select2-id="ag-y"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="6">Year</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 rounded-right-2 select2-container--bootstrap4-lg" dir="ltr" data-select2-id="5" style="width: 168.656px;"><span
class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-ag-y-container"><span
class="select2-selection__rendered" id="select2-ag-y-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Year</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
<input class="d-none" name="date_of_birth" type="text">
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="email" class="form-label">Email address</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-email-outline"></i></span>
</div>
<input class="form-control border-left-0" required="" data-imask="^[a-zA-Z0-9\.\!\#\$\%\&\’\*\+\/\=\?\^\_\`\{\|\}\~\-\@]+$" data-imask-regex="" name="email" type="email" id="email">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="_email_confirm" class="form-label">Confirm email address</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-email-check-outline"></i></span>
</div>
<input class="form-control border-left-0" autocomplete="nope" required="" data-imask="^[a-zA-Z0-9\.\!\#\$\%\&\’\*\+\/\=\?\^\_\`\{\|\}\~\-\@]+$" data-imask-regex="" data-rule-equalto="#email"
data-msg-equalto="Email addresses don't match" name="_email_confirm" type="email" id="_email_confirm">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="phone" class="form-label">Mobile number <small>(Australia only)</small></label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-cellphone-iphone"></i></span>
</div>
<input class="form-control border-left-0" required="" data-imask="{\0\4}00 000 000" name="phone" type="text" id="phone">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="autocomplete-wrapper">
<div class="form-group float-label prepend-icon mb-2 input-group-prepend">
<label for="_address" class="form-label">Postal address</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-home-outline"></i></span>
</div>
<div class="input-group-custom">
<select data-route="/addressLookup/AU" data-autocomplete-widget="address" data-placeholder=" " class="form-control select2--below select2--addressLookup w-100 border-left-0 rounded-right-2 select2-hidden-accessible"
required="" id="_address" name="_address" data-select2-id="_address" tabindex="-1" aria-hidden="true">
<option selected="selected" value="" data-select2-id="27"> </option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below select2--addressLookup w-100 border-left-0 rounded-right-2" dir="ltr" data-select2-id="26" style="width: 494px;"><span
class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-_address-container"><span
class="select2-selection__rendered" id="select2-_address-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder"></span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
<div class="autocomplete-toggle-wrapper">
<div class="form-group mb-4">
<div class="form-check form-check-flat m-0">
<label for="address-toggle" class="form-check-label text-left font-small-1 pt-1"> Can't find your address? <input id="address-toggle" class="form-check-input" type="checkbox"><i class="input-helper"></i></label>
</div>
</div>
</div>
<div class="autocomplete-hidden-wrapper d-none">
<input name="address_latitude" type="hidden">
<input name="address_longitude" type="hidden">
<input name="address_sa1" type="hidden">
<input name="address_gnaf" type="hidden">
<input name="address_meshblock" type="hidden">
<input name="address_meshblock_2016" type="hidden">
<div class="form-group float-label prepend-icon mb-1 input-group-prepend">
<label for="address_line_1" class="form-label">Postal address line 1</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-home-outline"></i></span>
</div>
<input class="form-control border-left-0" required="" name="address_line_1" type="text" id="address_line_1">
</div>
</div>
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="address_line_2" class="form-label">Postal address line 2 <small>(optional)</small></label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-home-outline"></i></span>
</div>
<input class="form-control border-left-0" name="address_line_2" type="text" id="address_line_2">
</div>
</div>
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="address_suburb" class="form-label">Suburb</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-home-outline"></i></span>
</div>
<input class="form-control border-left-0" required="" name="address_suburb" type="text" id="address_suburb">
</div>
</div>
<div class="row">
<div class="col-lg-6 pr-lg-2">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="address_state" class="form-label">State</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-home-outline"></i></span>
</div>
<div class="input-group-custom">
<select data-placeholder=" " class="form-control select2 select2--below w-100 border-left-0 rounded-right-2 select2-hidden-accessible" required="" id="address_state" name="address_state" data-select2-id="address_state"
tabindex="-1" aria-hidden="true">
<option selected="selected" value="" data-select2-id="8"> </option>
<option value="NSW">NSW</option>
<option value="QLD">QLD</option>
<option value="VIC">VIC</option>
<option value="ACT">ACT</option>
<option value="SA">SA</option>
<option value="WA">WA</option>
<option value="NT">NT</option>
<option value="TAS">TAS</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 border-left-0 rounded-right-2" dir="ltr" data-select2-id="7" style="width: auto;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-address_state-container"><span
class="select2-selection__rendered" id="select2-address_state-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder"> </span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
<div class="col-lg-6 pl-lg-2">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="address_postcode" class="form-label">Postcode</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-home-outline"></i></span>
</div>
<input class="form-control border-left-0" pattern="[0-9]*" min="1" max="9999" step="1" data-imask="0000" required="" name="address_postcode" type="number" id="address_postcode">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="pets_name" class="form-label">What is your pet's name</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-account-outline"></i></span>
</div>
<input class="form-control border-left-0" required="" name="pets_name" type="text" id="pets_name">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col pr-lg-2">
<div class="form-group float-label prepend-icon">
<label for="confirm_petbarn_member" class="font-small-3">Please confirm you are a Petbarn Friends for Life member:</label>
<div class="input-group rounded-2 pl-3 pb-2">
<input class="border-left-0 rounded-right-2 form-check-input" required="" name="confirm_petbarn_member" type="radio" value="Yes" id="confirm_petbarn_member">
<span class="font-small-3">Yes</span>
</div>
<div class="input-group rounded-2 pl-3 pb-2">
<input class="border-left-0 rounded-right-2 form-check-input" required="" name="confirm_petbarn_member" type="radio" value="No" id="confirm_petbarn_member">
<span class="font-small-3">No</span>
</div>
<span class="font-small-3 text-danger only-petbarn-member-msg" style="display: none;">Only Petbarn Friends for Life can enter</span>
</div>
</div>
</div>
<div class="row mb-2 mt-4">
<div class="col">
<button class="btn btn-primary border-0 text-white rounded-2 w-100 font-weight-bold font-medium-1 text-uppercase py-2" data-direction="next">Next</button>
</div>
</div>
</div>
<div class="step-panel animated fadeInRightShort faster" id="formStep2">
<div class="row">
<div class="col">
<h3 class="text-center font-weight-bold text-primary mb-4">Purchase Details</h3>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="purchase_date" class="form-label">Date of purchase</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-calendar-month-outline"></i></span>
</div>
<input class="form-control border-left-0" data-provide="datepicker" data-date-start-date="04/09/2023" data-date-end-date="05/11/2023" data-imask="00-00-0000" autocomplete="nope" required="" name="purchase_date" type="text"
id="purchase_date">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="retailer" class="form-label">Outlet</label>
<div class="input-group rounded-2">
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-storefront-outline"></i></span>
</div>
<div class="input-group-custom">
<select data-placeholder=" " class="form-control select2 select2--below w-100 border-left-0 rounded-right-2 select2-hidden-accessible" required="" id="retailer" name="retailer" data-select2-id="retailer" tabindex="-1"
aria-hidden="true">
<option selected="selected" value="" data-select2-id="10">Select</option>
<option value="Dural">Dural</option>
<option value="Chatswood">Chatswood</option>
<option value="Castle Hill">Castle Hill</option>
<option value="Essendon">Essendon</option>
<option value="Cranbourne">Cranbourne</option>
<option value="Coburg">Coburg</option>
<option value="Gladesville">Gladesville</option>
<option value="Eltham">Eltham</option>
<option value="Hawthorn">Hawthorn</option>
<option value="Deeragun">Deeragun</option>
<option value="East Victoria Park">East Victoria Park</option>
<option value="Geraldton">Geraldton</option>
<option value="Currambine">Currambine</option>
<option value="Ferntree Gully">Ferntree Gully</option>
<option value="Gladstone">Gladstone</option>
<option value="Belmont">Belmont</option>
<option value="Belrose">Belrose</option>
<option value="Clarkson">Clarkson</option>
<option value="Box Hill">Box Hill</option>
<option value="Capalaba">Capalaba</option>
<option value="Burleigh waters">Burleigh waters</option>
<option value="Browns Plains">Browns Plains</option>
<option value="Caroline Springs">Caroline Springs</option>
<option value="Beenleigh">Beenleigh</option>
<option value="Camberwell">Camberwell</option>
<option value="Campbell">Campbell</option>
<option value="Caloundra">Caloundra</option>
<option value="Cleveland">Cleveland</option>
<option value="Cairns">Cairns</option>
<option value="Chadstone">Chadstone</option>
<option value="Burleigh">Burleigh</option>
<option value="Caringbah">Caringbah</option>
<option value="Alexandria McEvoy">Alexandria McEvoy</option>
<option value="Wynnum">Wynnum</option>
<option value="Yokine">Yokine</option>
<option value="McGraths Hill">McGraths Hill</option>
<option value="Albury">Albury</option>
<option value="Chirnside Park">Chirnside Park</option>
<option value="Cannon Hill">Cannon Hill</option>
<option value="East Maitland">East Maitland</option>
<option value="Kenmore">Kenmore</option>
<option value="Booragoon">Booragoon</option>
<option value="Bedford">Bedford</option>
<option value="Booval">Booval</option>
<option value="Balcatta">Balcatta</option>
<option value="Bald Hills">Bald Hills</option>
<option value="Blacktown">Blacktown</option>
<option value="Bondi Junction">Bondi Junction</option>
<option value="Brookvale">Brookvale</option>
<option value="Newstead">Newstead</option>
<option value="Morayfield Supercentre">Morayfield Supercentre</option>
<option value="Butler">Butler</option>
<option value="Oakdale Online Store">Oakdale Online Store</option>
<option value="Craigieburn">Craigieburn</option>
<option value="Mentone">Mentone</option>
<option value="Bundaberg">Bundaberg</option>
<option value="Holden Hill">Holden Hill</option>
<option value="Malvern">Malvern</option>
<option value="Cannington">Cannington</option>
<option value="Orange">Orange</option>
<option value="Casula">Casula</option>
<option value="Mile End">Mile End</option>
<option value="Kangaroo Flat">Kangaroo Flat</option>
<option value="Elizabeth">Elizabeth</option>
<option value="Forster">Forster</option>
<option value="Clayton">Clayton</option>
<option value="Warners Bay">Warners Bay</option>
<option value="Wollongong">Wollongong</option>
<option value="Windsor">Windsor</option>
<option value="Wagga Wagga">Wagga Wagga</option>
<option value="Virginia">Virginia</option>
<option value="Toowoomba">Toowoomba</option>
<option value="Port Macquarie">Port Macquarie</option>
<option value="Watergardens">Watergardens</option>
<option value="Upper Coomera">Upper Coomera</option>
<option value="Wilsonton">Wilsonton</option>
<option value="Sunshine">Sunshine</option>
<option value="Rothwell">Rothwell</option>
<option value="Tuggeranong">Tuggeranong</option>
<option value="Woolloongabba">Woolloongabba</option>
<option value="Woden">Woden</option>
<option value="Subiaco">Subiaco</option>
<option value="Townsville Fairfield">Townsville Fairfield</option>
<option value="St Kilda">St Kilda</option>
<option value="Ringwood">Ringwood</option>
<option value="Weston">Weston</option>
<option value="Punchbowl">Punchbowl</option>
<option value="Logan">Logan</option>
<option value="Minchinbury">Minchinbury</option>
<option value="Ellenbrook">Ellenbrook</option>
<option value="PIMPAMA">PIMPAMA</option>
<option value="Pakenham">Pakenham</option>
<option value="Surry Hills">Surry Hills</option>
<option value="Smithfield">Smithfield</option>
<option value="Neutral Bay">Neutral Bay</option>
<option value="Thuringowa_New">Thuringowa_New</option>
<option value="Cockburn">Cockburn</option>
<option value="Harrisdale">Harrisdale</option>
<option value="Tweed Heads">Tweed Heads</option>
<option value="Double Bay">Double Bay</option>
<option value="Arundel">Arundel</option>
<option value="Bundall">Bundall</option>
<option value="Narellan">Narellan</option>
<option value="Charmhaven">Charmhaven</option>
<option value="West Ryde">West Ryde</option>
<option value="Tuggerah">Tuggerah</option>
<option value="Springfield">Springfield</option>
<option value="Waurn Ponds">Waurn Ponds</option>
<option value="Wetherill Park">Wetherill Park</option>
<option value="Bayswater">Bayswater</option>
<option value="Thomastown">Thomastown</option>
<option value="Armadale">Armadale</option>
<option value="Busselton">Busselton</option>
<option value="Sunbury">Sunbury</option>
<option value="Baldivis">Baldivis</option>
<option value="Norwood">Norwood</option>
<option value="Richmond">Richmond</option>
<option value="Penrith Coreen Ave">Penrith Coreen Ave</option>
<option value="Peakhurst">Peakhurst</option>
<option value="South Yarra">South Yarra</option>
<option value="Brighton">Brighton</option>
<option value="Willetton">Willetton</option>
<option value="Victoria Point">Victoria Point</option>
<option value="Townsville Duckworth St">Townsville Duckworth St</option>
<option value="Whitfords">Whitfords</option>
<option value="Spearwood">Spearwood</option>
<option value="Canning Vale">Canning Vale</option>
<option value="Underwood Logan Road">Underwood Logan Road</option>
<option value="South Morang">South Morang</option>
<option value="Preston">Preston</option>
<option value="Palmerston New">Palmerston New</option>
<option value="Robina">Robina</option>
<option value="Nowra">Nowra</option>
<option value="Rosny Park">Rosny Park</option>
<option value="Prospect">Prospect</option>
<option value="Rockingham">Rockingham</option>
<option value="Nunawading">Nunawading</option>
<option value="Osborne Park">Osborne Park</option>
<option value="NthParramatta">NthParramatta</option>
<option value="O'Connor">O'Connor</option>
<option value="Rockhampton">Rockhampton</option>
<option value="South Strathfield">South Strathfield</option>
<option value="Noosa">Noosa</option>
<option value="North Lakes">North Lakes</option>
<option value="Oxenford">Oxenford</option>
<option value="Myaree">Myaree</option>
<option value="Newcastle West">Newcastle West</option>
<option value="Narre Warren">Narre Warren</option>
<option value="Midland">Midland</option>
<option value="Mornington">Mornington</option>
<option value="Mittagong Highlands">Mittagong Highlands</option>
<option value="Narrabeen">Narrabeen</option>
<option value="Mt Gambier">Mt Gambier</option>
<option value="Melrose Park">Melrose Park</option>
<option value="Kotara">Kotara</option>
<option value="Kogarah">Kogarah</option>
<option value="Hoxton Park">Hoxton Park</option>
<option value="Nerang">Nerang</option>
<option value="Menai">Menai</option>
<option value="Maroochydore">Maroochydore</option>
<option value="Noarlunga">Noarlunga</option>
<option value="Nedlands">Nedlands</option>
<option value="Mt Gravatt">Mt Gravatt</option>
<option value="Mitchelton">Mitchelton</option>
<option value="Morayfield North">Morayfield North</option>
<option value="Kwinana">Kwinana</option>
<option value="Mackay Pet Super Store">Mackay Pet Super Store</option>
<option value="Indooroopilly">Indooroopilly</option>
<option value="Hervey Bay">Hervey Bay</option>
<option value="Katoomba">Katoomba</option>
<option value="Malaga">Malaga</option>
<option value="Kelmscott">Kelmscott</option>
<option value="Kawana">Kawana</option>
<option value="Kedron">Kedron</option>
<option value="Hoppers Crossing">Hoppers Crossing</option>
<option value="Macgregor">Macgregor</option>
<option value="Jindalee">Jindalee</option>
<option value="Innaloo">Innaloo</option>
<option value="Majura Park">Majura Park</option>
<option value="Launceston">Launceston</option>
<option value="Lismore">Lismore</option>
<option value="Ipswich">Ipswich</option>
<option value="Lawnton">Lawnton</option>
<option value="Gosford">Gosford</option>
<option value="Fountain Gate">Fountain Gate</option>
<option value="Derwent Park">Derwent Park</option>
<option value="Devonport">Devonport</option>
<option value="Dubbo">Dubbo</option>
<option value="Doncaster">Doncaster</option>
<option value="Hendon">Hendon</option>
<option value="Belconnen">Belconnen</option>
<option value="Rozelle">Rozelle</option>
<option value="Crows Nest">Crows Nest</option>
<option value="Shellharbour Stockland">Shellharbour Stockland</option>
<option value="Penrith Mulgoa Rd">Penrith Mulgoa Rd</option>
<option value="Joondalup">Joondalup</option>
<option value="Hornsby">Hornsby</option>
<option value="Midland Greater Eastern">Midland Greater Eastern</option>
<option value="Frankston">Frankston</option>
<option value="Warragul">Warragul</option>
<option value="Mildura">Mildura</option>
<option value="Bunbury">Bunbury</option>
<option value="Cockburn PB">Cockburn PB</option>
<option value="Mandurah">Mandurah</option>
<option value="Seaford">Seaford</option>
<option value="Banksia Grove">Banksia Grove</option>
<option value="Port Kennedy">Port Kennedy</option>
<option value="Better Pet Supplies Sydney">Better Pet Supplies Sydney</option>
<option value="Wendouree">Wendouree</option>
<option value="Better Pet Supplies Melbourne">Better Pet Supplies Melbourne</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 border-left-0 rounded-right-2" dir="ltr" data-select2-id="9" style="width: auto;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-retailer-container"><span
class="select2-selection__rendered" id="select2-retailer-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder"> </span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
</div>
<div class="product-row product-picker ">
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="sku_{$i}" class="form-label">Product purchased</label>
<div class="input-group rounded-2 position-relative">
<div class="loader d-none">
<i class="mdi mdi-loading mdi-spin font-large-1"></i>
</div>
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-cart-outline"></i></span>
</div>
<div class="input-group-custom">
<select data-placeholder=" " class="form-control select2 select2--below w-100 border-left-0 rounded-right-2 skus select2-hidden-accessible" required="" name="sku_1" data-select2-id="11" tabindex="-1" aria-hidden="true">
<option selected="selected" value="" data-select2-id="13">Select</option>
<option value="Salmon + Superfoods Recipe Adult 1.8kg">Salmon + Superfoods Recipe Adult 1.8kg</option>
<option value="Salmon + Superfoods Recipe Adult 9kg">Salmon + Superfoods Recipe Adult 9kg</option>
<option value="Salmon + Superfoods Recipe Puppy 1.8kg">Salmon + Superfoods Recipe Puppy 1.8kg</option>
<option value="Salmon + Superfoods Recipe Puppy 9kg">Salmon + Superfoods Recipe Puppy 9kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 1.8kg">Wild Ocean Fish + Superfood Recipe Senior 1.8kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 9kg">Wild Ocean Fish + Superfood Recipe Senior 9kg</option>
<option value="Beef + Superfood Blend Adult 1.8kg">Beef + Superfood Blend Adult 1.8kg</option>
<option value="Beef + Superfood Blend Adult 9kg">Beef + Superfood Blend Adult 9kg</option>
<option value="Lamb + Superfood Blend Adult 1.8kg">Lamb + Superfood Blend Adult 1.8kg</option>
<option value="Lamb + Superfood Blend Adult 9kg">Lamb + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult 9kg">Wild Kangaroo + Superfood Recipe Adult 9kg</option>
<option value="Salmon with Superfood Recipe Puppy 9x100g">Salmon with Superfood Recipe Puppy 9x100g</option>
<option value="Salmon with Superfood Recipe Puppy 100g">Salmon with Superfood Recipe Puppy 100g</option>
<option value="Chicken + Superfood Blend Adult 1.8kg">Chicken + Superfood Blend Adult 1.8kg</option>
<option value="Chicken + Superfood Blend Adult 9kg">Chicken + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 9x100g">Lamb with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 100g">Lamb with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 9x100g">Beef with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 100g">Beef with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Honey Crunch Cookie with Banana for Small Dogs 200g">Honey Crunch Cookie with Banana for Small Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Small Dogs 200g">Blueberry Bliss Cookie with Coconut for Small Dogs 200g</option>
<option value="Honey Crunch Cookie with Banana for Large Dogs 200g">Honey Crunch Cookie with Banana for Large Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Large Dogs 200g">Blueberry Bliss Cookie with Coconut for Large Dogs 200g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 500g">Air-Dried Immunity Bites Hip & Joint 500g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 1kg">Air-Dried Immunity Bites Hip & Joint 1kg</option>
<option value="Air-Dried Immunity Bites Skin & Coat 500g">Air-Dried Immunity Bites Skin & Coat 500g</option>
<option value="Air-Dried Immunity Bites Skin & Coat 1kg">Air-Dried Immunity Bites Skin & Coat 1kg</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 border-left-0 rounded-right-2 skus" dir="ltr" data-select2-id="12" style="width: auto;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-sku_1-lx-container"><span
class="select2-selection__rendered" id="select2-sku_1-lx-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder"> </span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
</div>
<div class="col-12 product-picker-action my-2 text-right">
<a href="#" class="product-picker-add text-decoration-none font-small-3">
Add another eligible product <i class="mdi mdi-plus-circle"></i>
<i class="mdi mdi-help-circle-outline" data-toggle="tooltip" data-placement="top" data-html="true" title="" data-original-title="Help?<br>If you have purchased more than one participating product and would like to claim – please select "+ Add another eligible product" and enter the brand & product of each. If you have purchase multiple products across seperate receipts, please enter as seperate claims. You will only be able to upload 1 x copy of your receipt."></i>
</a>
<br>
<hr>
</div>
</div>
<div class="product-row product-picker d-none">
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="sku_{$i}" class="form-label">Product purchased</label>
<div class="input-group rounded-2 position-relative">
<div class="loader d-none">
<i class="mdi mdi-loading mdi-spin font-large-1"></i>
</div>
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-cart-outline"></i></span>
</div>
<div class="input-group-custom">
<select data-placeholder=" " class="form-control select2 select2--below w-100 border-left-0 rounded-right-2 skus select2-hidden-accessible" required="" name="sku_2" data-select2-id="14" tabindex="-1" aria-hidden="true">
<option selected="selected" value="" data-select2-id="16">Select</option>
<option value="Salmon + Superfoods Recipe Adult 1.8kg">Salmon + Superfoods Recipe Adult 1.8kg</option>
<option value="Salmon + Superfoods Recipe Adult 9kg">Salmon + Superfoods Recipe Adult 9kg</option>
<option value="Salmon + Superfoods Recipe Puppy 1.8kg">Salmon + Superfoods Recipe Puppy 1.8kg</option>
<option value="Salmon + Superfoods Recipe Puppy 9kg">Salmon + Superfoods Recipe Puppy 9kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 1.8kg">Wild Ocean Fish + Superfood Recipe Senior 1.8kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 9kg">Wild Ocean Fish + Superfood Recipe Senior 9kg</option>
<option value="Beef + Superfood Blend Adult 1.8kg">Beef + Superfood Blend Adult 1.8kg</option>
<option value="Beef + Superfood Blend Adult 9kg">Beef + Superfood Blend Adult 9kg</option>
<option value="Lamb + Superfood Blend Adult 1.8kg">Lamb + Superfood Blend Adult 1.8kg</option>
<option value="Lamb + Superfood Blend Adult 9kg">Lamb + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult 9kg">Wild Kangaroo + Superfood Recipe Adult 9kg</option>
<option value="Salmon with Superfood Recipe Puppy 9x100g">Salmon with Superfood Recipe Puppy 9x100g</option>
<option value="Salmon with Superfood Recipe Puppy 100g">Salmon with Superfood Recipe Puppy 100g</option>
<option value="Chicken + Superfood Blend Adult 1.8kg">Chicken + Superfood Blend Adult 1.8kg</option>
<option value="Chicken + Superfood Blend Adult 9kg">Chicken + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 9x100g">Lamb with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 100g">Lamb with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 9x100g">Beef with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 100g">Beef with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Honey Crunch Cookie with Banana for Small Dogs 200g">Honey Crunch Cookie with Banana for Small Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Small Dogs 200g">Blueberry Bliss Cookie with Coconut for Small Dogs 200g</option>
<option value="Honey Crunch Cookie with Banana for Large Dogs 200g">Honey Crunch Cookie with Banana for Large Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Large Dogs 200g">Blueberry Bliss Cookie with Coconut for Large Dogs 200g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 500g">Air-Dried Immunity Bites Hip & Joint 500g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 1kg">Air-Dried Immunity Bites Hip & Joint 1kg</option>
<option value="Air-Dried Immunity Bites Skin & Coat 500g">Air-Dried Immunity Bites Skin & Coat 500g</option>
<option value="Air-Dried Immunity Bites Skin & Coat 1kg">Air-Dried Immunity Bites Skin & Coat 1kg</option>
</select><span class="select2 select2-container select2-container--bootstrap4 select2--below w-100 border-left-0 rounded-right-2 skus" dir="ltr" data-select2-id="15" style="width: auto;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-sku_2-7c-container"><span
class="select2-selection__rendered" id="select2-sku_2-7c-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder"> </span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
</div>
<div class="col-12 product-picker-action my-2 text-right">
<a href="#" class="product-picker-add text-decoration-none font-small-3">
Add another eligible product <i class="mdi mdi-plus-circle"></i>
</a>
<br>
<a href="#" class="product-picker-remove text-decoration-none font-small-3">
Remove eligible product <i class="mdi mdi-close-circle"></i>
</a>
<hr>
</div>
</div>
<div class="product-row product-picker d-none">
<div class="row">
<div class="col">
<div class="form-group float-label prepend-icon input-group-prepend">
<label for="sku_{$i}" class="form-label">Product purchased</label>
<div class="input-group rounded-2 position-relative">
<div class="loader d-none">
<i class="mdi mdi-loading mdi-spin font-large-1"></i>
</div>
<div class="input-group-prepend">
<span class="input-group-text border-right-0"><i class="mdi mdi-cart-outline"></i></span>
</div>
<div class="input-group-custom">
<select data-placeholder=" " class="form-control select2 select2--below w-100 border-left-0 rounded-right-2 skus select2-hidden-accessible" required="" name="sku_3" data-select2-id="17" tabindex="-1" aria-hidden="true">
<option selected="selected" value="" data-select2-id="19">Select</option>
<option value="Salmon + Superfoods Recipe Adult 1.8kg">Salmon + Superfoods Recipe Adult 1.8kg</option>
<option value="Salmon + Superfoods Recipe Adult 9kg">Salmon + Superfoods Recipe Adult 9kg</option>
<option value="Salmon + Superfoods Recipe Puppy 1.8kg">Salmon + Superfoods Recipe Puppy 1.8kg</option>
<option value="Salmon + Superfoods Recipe Puppy 9kg">Salmon + Superfoods Recipe Puppy 9kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 1.8kg">Wild Ocean Fish + Superfood Recipe Senior 1.8kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 9kg">Wild Ocean Fish + Superfood Recipe Senior 9kg</option>
<option value="Beef + Superfood Blend Adult 1.8kg">Beef + Superfood Blend Adult 1.8kg</option>
<option value="Beef + Superfood Blend Adult 9kg">Beef + Superfood Blend Adult 9kg</option>
<option value="Lamb + Superfood Blend Adult 1.8kg">Lamb + Superfood Blend Adult 1.8kg</option>
<option value="Lamb + Superfood Blend Adult 9kg">Lamb + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult 9kg">Wild Kangaroo + Superfood Recipe Adult 9kg</option>
<option value="Salmon with Superfood Recipe Puppy 9x100g">Salmon with Superfood Recipe Puppy 9x100g</option>
<option value="Salmon with Superfood Recipe Puppy 100g">Salmon with Superfood Recipe Puppy 100g</option>
<option value="Chicken + Superfood Blend Adult 1.8kg">Chicken + Superfood Blend Adult 1.8kg</option>
<option value="Chicken + Superfood Blend Adult 9kg">Chicken + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 9x100g">Lamb with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 100g">Lamb with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 9x100g">Beef with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 100g">Beef with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Honey Crunch Cookie with Banana for Small Dogs 200g">Honey Crunch Cookie with Banana for Small Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Small Dogs 200g">Blueberry Bliss Cookie with Coconut for Small Dogs 200g</option>
<option value="Honey Crunch Cookie with Banana for Large Dogs 200g">Honey Crunch Cookie with Banana for Large Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Large Dogs 200g">Blueberry Bliss Cookie with Coconut for Large Dogs 200g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 500g">Air-Dried Immunity Bites Hip & Joint 500g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 1kg">Air-Dried Immunity Bites Hip & Joint 1kg</option>
<option value="Air-Dried Immunity Bites Skin & Coat 500g">Air-Dried Immunity Bites Skin & Coat 500g</option>
<option value="Air-Dried Immunity Bites Skin & Coat 1kg">Air-Dried Immunity Bites Skin & Coat 1kg</option>
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<option selected="selected" value="" data-select2-id="22">Select</option>
<option value="Salmon + Superfoods Recipe Adult 1.8kg">Salmon + Superfoods Recipe Adult 1.8kg</option>
<option value="Salmon + Superfoods Recipe Adult 9kg">Salmon + Superfoods Recipe Adult 9kg</option>
<option value="Salmon + Superfoods Recipe Puppy 1.8kg">Salmon + Superfoods Recipe Puppy 1.8kg</option>
<option value="Salmon + Superfoods Recipe Puppy 9kg">Salmon + Superfoods Recipe Puppy 9kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 1.8kg">Wild Ocean Fish + Superfood Recipe Senior 1.8kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 9kg">Wild Ocean Fish + Superfood Recipe Senior 9kg</option>
<option value="Beef + Superfood Blend Adult 1.8kg">Beef + Superfood Blend Adult 1.8kg</option>
<option value="Beef + Superfood Blend Adult 9kg">Beef + Superfood Blend Adult 9kg</option>
<option value="Lamb + Superfood Blend Adult 1.8kg">Lamb + Superfood Blend Adult 1.8kg</option>
<option value="Lamb + Superfood Blend Adult 9kg">Lamb + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult 9kg">Wild Kangaroo + Superfood Recipe Adult 9kg</option>
<option value="Salmon with Superfood Recipe Puppy 9x100g">Salmon with Superfood Recipe Puppy 9x100g</option>
<option value="Salmon with Superfood Recipe Puppy 100g">Salmon with Superfood Recipe Puppy 100g</option>
<option value="Chicken + Superfood Blend Adult 1.8kg">Chicken + Superfood Blend Adult 1.8kg</option>
<option value="Chicken + Superfood Blend Adult 9kg">Chicken + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 9x100g">Lamb with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 100g">Lamb with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 9x100g">Beef with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 100g">Beef with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Honey Crunch Cookie with Banana for Small Dogs 200g">Honey Crunch Cookie with Banana for Small Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Small Dogs 200g">Blueberry Bliss Cookie with Coconut for Small Dogs 200g</option>
<option value="Honey Crunch Cookie with Banana for Large Dogs 200g">Honey Crunch Cookie with Banana for Large Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Large Dogs 200g">Blueberry Bliss Cookie with Coconut for Large Dogs 200g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 500g">Air-Dried Immunity Bites Hip & Joint 500g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 1kg">Air-Dried Immunity Bites Hip & Joint 1kg</option>
<option value="Air-Dried Immunity Bites Skin & Coat 500g">Air-Dried Immunity Bites Skin & Coat 500g</option>
<option value="Air-Dried Immunity Bites Skin & Coat 1kg">Air-Dried Immunity Bites Skin & Coat 1kg</option>
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<option selected="selected" value="" data-select2-id="25">Select</option>
<option value="Salmon + Superfoods Recipe Adult 1.8kg">Salmon + Superfoods Recipe Adult 1.8kg</option>
<option value="Salmon + Superfoods Recipe Adult 9kg">Salmon + Superfoods Recipe Adult 9kg</option>
<option value="Salmon + Superfoods Recipe Puppy 1.8kg">Salmon + Superfoods Recipe Puppy 1.8kg</option>
<option value="Salmon + Superfoods Recipe Puppy 9kg">Salmon + Superfoods Recipe Puppy 9kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 1.8kg">Wild Ocean Fish + Superfood Recipe Senior 1.8kg</option>
<option value="Wild Ocean Fish + Superfood Recipe Senior 9kg">Wild Ocean Fish + Superfood Recipe Senior 9kg</option>
<option value="Beef + Superfood Blend Adult 1.8kg">Beef + Superfood Blend Adult 1.8kg</option>
<option value="Beef + Superfood Blend Adult 9kg">Beef + Superfood Blend Adult 9kg</option>
<option value="Lamb + Superfood Blend Adult 1.8kg">Lamb + Superfood Blend Adult 1.8kg</option>
<option value="Lamb + Superfood Blend Adult 9kg">Lamb + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult 9kg">Wild Kangaroo + Superfood Recipe Adult 9kg</option>
<option value="Salmon with Superfood Recipe Puppy 9x100g">Salmon with Superfood Recipe Puppy 9x100g</option>
<option value="Salmon with Superfood Recipe Puppy 100g">Salmon with Superfood Recipe Puppy 100g</option>
<option value="Chicken + Superfood Blend Adult 1.8kg">Chicken + Superfood Blend Adult 1.8kg</option>
<option value="Chicken + Superfood Blend Adult 9kg">Chicken + Superfood Blend Adult 9kg</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g">Wild Kangaroo + Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 9x100g">Lamb with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Lamb with Superfood Recipe Adult Dog Food Tray 100g">Lamb with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 9x100g">Beef with Superfood Recipe Adult Dog Food Tray 9x100g</option>
<option value="Beef with Superfood Recipe Adult Dog Food Tray 100g">Beef with Superfood Recipe Adult Dog Food Tray 100g</option>
<option value="Honey Crunch Cookie with Banana for Small Dogs 200g">Honey Crunch Cookie with Banana for Small Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Small Dogs 200g">Blueberry Bliss Cookie with Coconut for Small Dogs 200g</option>
<option value="Honey Crunch Cookie with Banana for Large Dogs 200g">Honey Crunch Cookie with Banana for Large Dogs 200g</option>
<option value="Blueberry Bliss Cookie with Coconut for Large Dogs 200g">Blueberry Bliss Cookie with Coconut for Large Dogs 200g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 500g">Air-Dried Immunity Bites Hip & Joint 500g</option>
<option value="Air-Dried Immunity Bites Hip & Joint 1kg">Air-Dried Immunity Bites Hip & Joint 1kg</option>
<option value="Air-Dried Immunity Bites Skin & Coat 500g">Air-Dried Immunity Bites Skin & Coat 500g</option>
<option value="Air-Dried Immunity Bites Skin & Coat 1kg">Air-Dried Immunity Bites Skin & Coat 1kg</option>
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role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
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</form>Text Content
ENTER * * * Personal 1 * Purchase 2 PERSONAL DETAILS Please note, competition is only open to Petbarn Friends for Life Members. Please enter the email address that is associated with your Petbarn account. Alternatively, new members can join Friends for Life online here. First name Last name Date of birth: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Year 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Year Email address Confirm email address Mobile number (Australia only) Postal address Can't find your address? Postal address line 1 Postal address line 2 (optional) Suburb State NSWQLDVICACTSAWANTTAS Postcode What is your pet's name Please confirm you are a Petbarn Friends for Life member: Yes No Only Petbarn Friends for Life can enter Next PURCHASE DETAILS Date of purchase Outlet SelectDuralChatswoodCastle HillEssendonCranbourneCoburgGladesvilleElthamHawthornDeeragunEast Victoria ParkGeraldtonCurrambineFerntree GullyGladstoneBelmontBelroseClarksonBox HillCapalabaBurleigh watersBrowns PlainsCaroline SpringsBeenleighCamberwellCampbellCaloundraClevelandCairnsChadstoneBurleighCaringbahAlexandria McEvoyWynnumYokineMcGraths HillAlburyChirnside ParkCannon HillEast MaitlandKenmoreBooragoonBedfordBoovalBalcattaBald HillsBlacktownBondi JunctionBrookvaleNewsteadMorayfield SupercentreButlerOakdale Online StoreCraigieburnMentoneBundabergHolden HillMalvernCanningtonOrangeCasulaMile EndKangaroo FlatElizabethForsterClaytonWarners BayWollongongWindsorWagga WaggaVirginiaToowoombaPort MacquarieWatergardensUpper CoomeraWilsontonSunshineRothwellTuggeranongWoolloongabbaWodenSubiacoTownsville FairfieldSt KildaRingwoodWestonPunchbowlLoganMinchinburyEllenbrookPIMPAMAPakenhamSurry HillsSmithfieldNeutral BayThuringowa_NewCockburnHarrisdaleTweed HeadsDouble BayArundelBundallNarellanCharmhavenWest RydeTuggerahSpringfieldWaurn PondsWetherill ParkBayswaterThomastownArmadaleBusseltonSunburyBaldivisNorwoodRichmondPenrith Coreen AvePeakhurstSouth YarraBrightonWillettonVictoria PointTownsville Duckworth StWhitfordsSpearwoodCanning ValeUnderwood Logan RoadSouth MorangPrestonPalmerston NewRobinaNowraRosny ParkProspectRockinghamNunawadingOsborne ParkNthParramattaO'ConnorRockhamptonSouth StrathfieldNoosaNorth LakesOxenfordMyareeNewcastle WestNarre WarrenMidlandMorningtonMittagong HighlandsNarrabeenMt GambierMelrose ParkKotaraKogarahHoxton ParkNerangMenaiMaroochydoreNoarlungaNedlandsMt GravattMitcheltonMorayfield NorthKwinanaMackay Pet Super StoreIndooroopillyHervey BayKatoombaMalagaKelmscottKawanaKedronHoppers CrossingMacgregorJindaleeInnalooMajura ParkLauncestonLismoreIpswichLawntonGosfordFountain GateDerwent ParkDevonportDubboDoncasterHendonBelconnenRozelleCrows NestShellharbour StocklandPenrith Mulgoa RdJoondalupHornsbyMidland Greater EasternFrankstonWarragulMilduraBunburyCockburn PBMandurahSeafordBanksia GrovePort KennedyBetter Pet Supplies SydneyWendoureeBetter Pet Supplies Melbourne Product purchased SelectSalmon + Superfoods Recipe Adult 1.8kgSalmon + Superfoods Recipe Adult 9kgSalmon + Superfoods Recipe Puppy 1.8kgSalmon + Superfoods Recipe Puppy 9kgWild Ocean Fish + Superfood Recipe Senior 1.8kgWild Ocean Fish + Superfood Recipe Senior 9kgBeef + Superfood Blend Adult 1.8kgBeef + Superfood Blend Adult 9kgLamb + Superfood Blend Adult 1.8kgLamb + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult 9kgSalmon with Superfood Recipe Puppy 9x100gSalmon with Superfood Recipe Puppy 100gChicken + Superfood Blend Adult 1.8kgChicken + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100gWild Kangaroo + Superfood Recipe Adult Dog Food Tray 100gLamb with Superfood Recipe Adult Dog Food Tray 9x100gLamb with Superfood Recipe Adult Dog Food Tray 100gBeef with Superfood Recipe Adult Dog Food Tray 9x100gBeef with Superfood Recipe Adult Dog Food Tray 100gHoney Crunch Cookie with Banana for Small Dogs 200gBlueberry Bliss Cookie with Coconut for Small Dogs 200gHoney Crunch Cookie with Banana for Large Dogs 200gBlueberry Bliss Cookie with Coconut for Large Dogs 200gAir-Dried Immunity Bites Hip & Joint 500gAir-Dried Immunity Bites Hip & Joint 1kgAir-Dried Immunity Bites Skin & Coat 500gAir-Dried Immunity Bites Skin & Coat 1kg Add another eligible product -------------------------------------------------------------------------------- Product purchased SelectSalmon + Superfoods Recipe Adult 1.8kgSalmon + Superfoods Recipe Adult 9kgSalmon + Superfoods Recipe Puppy 1.8kgSalmon + Superfoods Recipe Puppy 9kgWild Ocean Fish + Superfood Recipe Senior 1.8kgWild Ocean Fish + Superfood Recipe Senior 9kgBeef + Superfood Blend Adult 1.8kgBeef + Superfood Blend Adult 9kgLamb + Superfood Blend Adult 1.8kgLamb + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult 9kgSalmon with Superfood Recipe Puppy 9x100gSalmon with Superfood Recipe Puppy 100gChicken + Superfood Blend Adult 1.8kgChicken + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100gWild Kangaroo + Superfood Recipe Adult Dog Food Tray 100gLamb with Superfood Recipe Adult Dog Food Tray 9x100gLamb with Superfood Recipe Adult Dog Food Tray 100gBeef with Superfood Recipe Adult Dog Food Tray 9x100gBeef with Superfood Recipe Adult Dog Food Tray 100gHoney Crunch Cookie with Banana for Small Dogs 200gBlueberry Bliss Cookie with Coconut for Small Dogs 200gHoney Crunch Cookie with Banana for Large Dogs 200gBlueberry Bliss Cookie with Coconut for Large Dogs 200gAir-Dried Immunity Bites Hip & Joint 500gAir-Dried Immunity Bites Hip & Joint 1kgAir-Dried Immunity Bites Skin & Coat 500gAir-Dried Immunity Bites Skin & Coat 1kg Add another eligible product Remove eligible product -------------------------------------------------------------------------------- Product purchased SelectSalmon + Superfoods Recipe Adult 1.8kgSalmon + Superfoods Recipe Adult 9kgSalmon + Superfoods Recipe Puppy 1.8kgSalmon + Superfoods Recipe Puppy 9kgWild Ocean Fish + Superfood Recipe Senior 1.8kgWild Ocean Fish + Superfood Recipe Senior 9kgBeef + Superfood Blend Adult 1.8kgBeef + Superfood Blend Adult 9kgLamb + Superfood Blend Adult 1.8kgLamb + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult 9kgSalmon with Superfood Recipe Puppy 9x100gSalmon with Superfood Recipe Puppy 100gChicken + Superfood Blend Adult 1.8kgChicken + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100gWild Kangaroo + Superfood Recipe Adult Dog Food Tray 100gLamb with Superfood Recipe Adult Dog Food Tray 9x100gLamb with Superfood Recipe Adult Dog Food Tray 100gBeef with Superfood Recipe Adult Dog Food Tray 9x100gBeef with Superfood Recipe Adult Dog Food Tray 100gHoney Crunch Cookie with Banana for Small Dogs 200gBlueberry Bliss Cookie with Coconut for Small Dogs 200gHoney Crunch Cookie with Banana for Large Dogs 200gBlueberry Bliss Cookie with Coconut for Large Dogs 200gAir-Dried Immunity Bites Hip & Joint 500gAir-Dried Immunity Bites Hip & Joint 1kgAir-Dried Immunity Bites Skin & Coat 500gAir-Dried Immunity Bites Skin & Coat 1kg Add another eligible product Remove eligible product -------------------------------------------------------------------------------- Product purchased SelectSalmon + Superfoods Recipe Adult 1.8kgSalmon + Superfoods Recipe Adult 9kgSalmon + Superfoods Recipe Puppy 1.8kgSalmon + Superfoods Recipe Puppy 9kgWild Ocean Fish + Superfood Recipe Senior 1.8kgWild Ocean Fish + Superfood Recipe Senior 9kgBeef + Superfood Blend Adult 1.8kgBeef + Superfood Blend Adult 9kgLamb + Superfood Blend Adult 1.8kgLamb + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult 9kgSalmon with Superfood Recipe Puppy 9x100gSalmon with Superfood Recipe Puppy 100gChicken + Superfood Blend Adult 1.8kgChicken + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100gWild Kangaroo + Superfood Recipe Adult Dog Food Tray 100gLamb with Superfood Recipe Adult Dog Food Tray 9x100gLamb with Superfood Recipe Adult Dog Food Tray 100gBeef with Superfood Recipe Adult Dog Food Tray 9x100gBeef with Superfood Recipe Adult Dog Food Tray 100gHoney Crunch Cookie with Banana for Small Dogs 200gBlueberry Bliss Cookie with Coconut for Small Dogs 200gHoney Crunch Cookie with Banana for Large Dogs 200gBlueberry Bliss Cookie with Coconut for Large Dogs 200gAir-Dried Immunity Bites Hip & Joint 500gAir-Dried Immunity Bites Hip & Joint 1kgAir-Dried Immunity Bites Skin & Coat 500gAir-Dried Immunity Bites Skin & Coat 1kg Add another eligible product Remove eligible product -------------------------------------------------------------------------------- Product purchased SelectSalmon + Superfoods Recipe Adult 1.8kgSalmon + Superfoods Recipe Adult 9kgSalmon + Superfoods Recipe Puppy 1.8kgSalmon + Superfoods Recipe Puppy 9kgWild Ocean Fish + Superfood Recipe Senior 1.8kgWild Ocean Fish + Superfood Recipe Senior 9kgBeef + Superfood Blend Adult 1.8kgBeef + Superfood Blend Adult 9kgLamb + Superfood Blend Adult 1.8kgLamb + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult 9kgSalmon with Superfood Recipe Puppy 9x100gSalmon with Superfood Recipe Puppy 100gChicken + Superfood Blend Adult 1.8kgChicken + Superfood Blend Adult 9kgWild Kangaroo + Superfood Recipe Adult Dog Food Tray 9x100gWild Kangaroo + Superfood Recipe Adult Dog Food Tray 100gLamb with Superfood Recipe Adult Dog Food Tray 9x100gLamb with Superfood Recipe Adult Dog Food Tray 100gBeef with Superfood Recipe Adult Dog Food Tray 9x100gBeef with Superfood Recipe Adult Dog Food Tray 100gHoney Crunch Cookie with Banana for Small Dogs 200gBlueberry Bliss Cookie with Coconut for Small Dogs 200gHoney Crunch Cookie with Banana for Large Dogs 200gBlueberry Bliss Cookie with Coconut for Large Dogs 200gAir-Dried Immunity Bites Hip & Joint 500gAir-Dried Immunity Bites Hip & Joint 1kgAir-Dried Immunity Bites Skin & Coat 500gAir-Dried Immunity Bites Skin & Coat 1kg Remove eligible product You are only able to claim 5 products at a time -------------------------------------------------------------------------------- Upload a copy of your receipt Upload Receipt I confirm my details are correct and I have read and agree to the Terms & Conditions and Privacy Policy. Submit Promotion runs from the 4th September 2023 to the 5th November 2023. Home FAQs Terms and Conditions Privacy Policy Contact Us Winner Aus. res. who are members of Petbarn’s Friends for Life loyalty program only. Starts 4/9/23 12:01am AEST. Ends 5/11/23 11:59pm AEDT. Retain receipt(s). Limit 1 entry/person/day. Draw: 12pm AEDT, 9/11/23, Plexus, Level 4, 411 Collins Street, Melbourne VIC 3000. Prize: 1 x 2023 Tesla Model 3 Rear-Wheel Drive (up to $66,767). Winner published at billyandmargotpromotion.com.au on 16/11/23. Promoter: Real Pet Food Company Pty Ltd ABN 54 618 564 257, 39 Albany St, Crows Nest NSW 2065. See https://www.billyandmargotpromotion.com.au/ for Terms and Conditions. NSW Authority No. TP/02743. Permit No's: ACT TP 23/01203 & SA T23/904. Menu Close -------------------------------------------------------------------------------- * Home * FAQs * Terms and Conditions * Privacy Policy * Contact Us * Winner