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45.65.61.61
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Submitted URL: https://l.m.otr.com.au/ls/click?upn=f0fOON5C1o0yqo46vYDSOXvm-2BOs-2F-2BqsKsin6FQ3XoY-2Bjdgsr2FJYiWUmL2jbe3ly8bocvwX2pMQ...
Effective URL: https://www.otr.com.au/pages/contactus/?lid=wppz8l4ex01s
Submission: On April 02 via api from CA — Scanned from AU
Effective URL: https://www.otr.com.au/pages/contactus/?lid=wppz8l4ex01s
Submission: On April 02 via api from CA — Scanned from AU
Form analysis 1 forms found in the DOM
POST /pages/contactus/?lid=wppz8l4ex01s
<form method="post" enctype="multipart/form-data" id="gform_5" class="form-feedback" action="/pages/contactus/?lid=wppz8l4ex01s" data-formid="5" novalidate="">
<div class="gform-body gform_body">
<ul id="gform_fields_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_6" class="gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_6"><label
class="gfield_label gform-field-label" for="input_5_6">Enquiry Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_5_6" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">[SELECT ENQUIRY TYPE]</option>
<option value="Store Feedback">Store Feedback</option>
<option value="General Enquiries">General Enquiries</option>
</select></div>
</li>
<li id="field_5_14" class="gfield gfield--type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_14"
data-conditional-logic="visible"><label class="gfield_label gform-field-label" for="input_5_14">Store<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_14" id="input_5_14" class="medium gfield_select" aria-required="true" aria-invalid="false" data-conditional-logic="visible">
<option value="" selected="selected" class="gf_placeholder">[SELECT A STORE]</option>
<option value="Aberfoyle Park - 7 Park Ave">Aberfoyle Park - 7 Park Ave</option>
<option value="Alberton - 156 Port Rd">Alberton - 156 Port Rd</option>
<option value="Aldinga - 3 Port Rd">Aldinga - 3 Port Rd</option>
<option value="Angle Park - 610 South Rd">Angle Park - 610 South Rd</option>
<option value="Alphington (VIC) - 779-785 Heidelberg Rd">Alphington (VIC) - 779-785 Heidelberg Rd</option>
<option value="Angle Vale - 131 Heaslip Rd">Angle Vale - 131 Heaslip Rd</option>
<option value="Athelstone - 310 Gorge Rd">Athelstone - 310 Gorge Rd</option>
<option value="Balhannah - 93 Onkaparinga Valley Road">Balhannah - 93 Onkaparinga Valley Road</option>
<option value="Belair - 1 Main Rd">Belair - 1 Main Rd</option>
<option value="Berri - 1314 Old Sturt Hwy">Berri - 1314 Old Sturt Hwy</option>
<option value="Blackwood - 203 Main Road">Blackwood - 203 Main Road</option>
<option value="Blair Athol - 402 Main North Rd">Blair Athol - 402 Main North Rd</option>
<option value="Brighton - 480 Brighton Rd">Brighton - 480 Brighton Rd</option>
<option value="Broken Hill Patton Street (NSW) - BARANGAROO">Broken Hill Patton Street (NSW) - BARANGAROO</option>
<option value="Broadview - 150 Hampstead Rd">Broadview - 150 Hampstead Rd</option>
<option value="Brompton - 73 Torrens Rd">Brompton - 73 Torrens Rd</option>
<option value="Bull Creek (WA) - Cnr Parry Dr & Wheately Rd">Bull Creek (WA) - Cnr Parry Dr & Wheately Rd</option>
<option value="Cavan (Inbound) - 144 Port Wakefield Rd">Cavan (Inbound) - 144 Port Wakefield Rd</option>
<option value="Cavan (Outbound DT) - 113 Port Wakefield Rd">Cavan (Outbound DT) - 113 Port Wakefield Rd</option>
<option value="Casula (NSW) - 646 Hume Highway">Casula (NSW) - 646 Hume Highway</option>
<option value="Ceduna - 35 Eyre Hwy">Ceduna - 35 Eyre Hwy</option>
<option value="Christies Beach (Beach Rd) - 124 Beach Rd">Christies Beach (Beach Rd) - 124 Beach Rd</option>
<option value="Christies Beach (Dyson Rd) - 159 Dyson Rd">Christies Beach (Dyson Rd) - 159 Dyson Rd</option>
<option value="Christies Beach (Gulfview Rd) - 35 Gulfview Rd">Christies Beach (Gulfview Rd) - 35 Gulfview Rd</option>
<option value="Clare - 186 Main North Rd">Clare - 186 Main North Rd</option>
<option value="Clarence Park - 340 Goodwood Rd">Clarence Park - 340 Goodwood Rd</option>
<option value="Clovelly Park - 1172-1174 Main South Road">Clovelly Park - 1172-1174 Main South Road</option>
<option value="Croydon Park - 207 Regency Rd">Croydon Park - 207 Regency Rd</option>
<option value="Como (WA) - 73 Manning Road">Como (WA) - 73 Manning Road</option>
<option value="Darlington - 1487 Main South Rd">Darlington - 1487 Main South Rd</option>
<option value="Davoren Park - 41 Peachey Rd">Davoren Park - 41 Peachey Rd</option>
<option value="Dernancourt - 819 Lower North East Rd">Dernancourt - 819 Lower North East Rd</option>
<option value="Dry Creek - 11 Vater St">Dry Creek - 11 Vater St</option>
<option value="Elizabeth - 17 Philip Hwy">Elizabeth - 17 Philip Hwy</option>
<option value="Elizabeth (DT) - 11 Elizabeth Way">Elizabeth (DT) - 11 Elizabeth Way</option>
<option value="Elizabeth South - Lot 2 John Rice Ave">Elizabeth South - Lot 2 John Rice Ave</option>
<option value="Erindale - 372 Kensington Rd">Erindale - 372 Kensington Rd</option>
<option value="Evandale - 87 Portrush Rd">Evandale - 87 Portrush Rd</option>
<option value="Evanston - 496 Main North Rd">Evanston - 496 Main North Rd</option>
<option value="Evanston Gardens - 35 Angle Vale Rd">Evanston Gardens - 35 Angle Vale Rd</option>
<option value="Flinders Park - 148 Grange Rd">Flinders Park - 148 Grange Rd</option>
<option value="Fulham - 510 Henley Beach Rd">Fulham - 510 Henley Beach Rd</option>
<option value="Fulham Gardens (DT) - 471 Tapleys Hill Rd">Fulham Gardens (DT) - 471 Tapleys Hill Rd</option>
<option value="Frankston (VIC) - 521-523 Napean Highway">Frankston (VIC) - 521-523 Napean Highway</option>
<option value="Frankston Flinders Road (VIC)">Frankston Flinders Road (VIC)</option>
<option value="Fullarton - 390 Fullarton Rd">Fullarton - 390 Fullarton Rd</option>
<option value="Gepps Cross - 591 Grand Junction Rd">Gepps Cross - 591 Grand Junction Rd</option>
<option value="Glandore (DT) - 134 Anzac Hwy">Glandore (DT) - 134 Anzac Hwy</option>
<option value="Glen Osmond - 411 Glen Osmond Rd">Glen Osmond - 411 Glen Osmond Rd</option>
<option value="Glenelg East - 66 Brighton Rd">Glenelg East - 66 Brighton Rd</option>
<option value="Glengowrie - 80 Oaklands Rd">Glengowrie - 80 Oaklands Rd</option>
<option value="Glenside - 282 Greenhill Rd">Glenside - 282 Greenhill Rd</option>
<option value="Glenunga - 303 Glen Osmond Rd">Glenunga - 303 Glen Osmond Rd</option>
<option value="Golden Grove - Lot 1031 Helicon Dr">Golden Grove - Lot 1031 Helicon Dr</option>
<option value="Gouger St (Adelaide CBD) - 76 Gouger St">Gouger St (Adelaide CBD) - 76 Gouger St</option>
<option value="Greenacres - 325 North East Rd">Greenacres - 325 North East Rd</option>
<option value="Hackney - 11-15 Hackney Road">Hackney - 11-15 Hackney Road</option>
<option value="Hamilton (VIC) - 86-90 Coleraine Road">Hamilton (VIC) - 86-90 Coleraine Road</option>
<option value="Harbourtown (DT) - Cnr Tapleys Hill Rd & West Beach Rd">Harbourtown (DT) - Cnr Tapleys Hill Rd & West Beach Rd</option>
<option value="Hazelwood Park - 465 Glynburn Rd">Hazelwood Park - 465 Glynburn Rd</option>
<option value="Hillbank - Lot 92 Main North Rd">Hillbank - Lot 92 Main North Rd</option>
<option value="Hillcrest - 431 North East Rd">Hillcrest - 431 North East Rd</option>
<option value="Hilton - 79 Sir Donald Bradman Dr">Hilton - 79 Sir Donald Bradman Dr</option>
<option value="Holden Hill North - 742 North East Rd">Holden Hill North - 742 North East Rd</option>
<option value="Holden Hill South - Cnr North East Rd & Tarton Rd">Holden Hill South - Cnr North East Rd & Tarton Rd</option>
<option value="Horsham Dimboola Rd (VIC) - Cnr Dimboola Rd & Wawunna Rd">Horsham Dimboola Rd (VIC) - Cnr Dimboola Rd & Wawunna Rd</option>
<option value="Horsham Wilson St (VIC) - Cnr Wilson St & Darlot St">Horsham Wilson St (VIC) - Cnr Wilson St & Darlot St</option>
<option value="Irymple (VIC) - 2090 Fifteenth St">Irymple (VIC) - 2090 Fifteenth St</option>
<option value="Kadina - 19 Frances Tce">Kadina - 19 Frances Tce</option>
<option value="Katherine (NT) - 85 Bicentennial Rd">Katherine (NT) - 85 Bicentennial Rd</option>
<option value="Kapunda - 1 Mildred St">Kapunda - 1 Mildred St</option>
<option value="Kensington Gardens - 408 Magill Rd">Kensington Gardens - 408 Magill Rd</option>
<option value="Kent Town - 1 Fullarton Rd">Kent Town - 1 Fullarton Rd</option>
<option value="Kingscote - 10 Telegraph Rd">Kingscote - 10 Telegraph Rd</option>
<option value="Kingston (SE) - 1 Princess Hwy">Kingston (SE) - 1 Princess Hwy</option>
<option value="Kensington - 294 The Parade">Kensington - 294 The Parade</option>
<option value="Kingswood - 1 Belair Rd">Kingswood - 1 Belair Rd</option>
<option value="Kurralta Park - 488 South Rd">Kurralta Park - 488 South Rd</option>
<option value="Largs Bay (Military Rd) - 354 Military Rd">Largs Bay (Military Rd) - 354 Military Rd</option>
<option value="Largs Bay (Victoria Rd) - 208 Victoria Rd">Largs Bay (Victoria Rd) - 208 Victoria Rd</option>
<option value="Lane Cove (NSW) - 254 Burns Bay Road">Lane Cove (NSW) - 254 Burns Bay Road</option>
<option value="Lakes Entrance (VIC) - 413 Esplanade">Lakes Entrance (VIC) - 413 Esplanade</option>
<option value="Linden Park - 460 Greenhill Rd">Linden Park - 460 Greenhill Rd</option>
<option value="Littlehampton - 81 North Tce">Littlehampton - 81 North Tce</option>
<option value="Loxton (French Rd)">Loxton (French Rd)</option>
<option value="Loxton (Roundabout) - 50 Bookpurnong Tce">Loxton (Roundabout) - 50 Bookpurnong Tce</option>
<option value="Manning (WA) - 73 Manning Rd">Manning (WA) - 73 Manning Rd</option>
<option value="Marryatville - 287 Kensington Road">Marryatville - 287 Kensington Road</option>
<option value="Mannum - 50 Adelaide Rd">Mannum - 50 Adelaide Rd</option>
<option value="Marion - 752 Marion Rd">Marion - 752 Marion Rd</option>
<option value="Mawson Lakes - 7 Central Link">Mawson Lakes - 7 Central Link</option>
<option value="Mildura (VIC) - 463 Deakin Ave">Mildura (VIC) - 463 Deakin Ave</option>
<option value="Mile End (DT) - 195 South Rd">Mile End (DT) - 195 South Rd</option>
<option value="Mitchell Park - 843 Marion Rd">Mitchell Park - 843 Marion Rd</option>
<option value="Modbury - 931 North East Rd">Modbury - 931 North East Rd</option>
<option value="Morphett Vale (Inbound) - 131 Main South Rd Morphett Vale">Morphett Vale (Inbound) - 131 Main South Rd Morphett Vale</option>
<option value="Morphett Vale (Outbound) - 140 Main South Rd">Morphett Vale (Outbound) - 140 Main South Rd</option>
<option value="Motorsport Park - 543 Dukes Hwy">Motorsport Park - 543 Dukes Hwy</option>
<option value="Mount Barker Knott Street - 18 Knott St">Mount Barker Knott Street - 18 Knott St</option>
<option value="Mount Barker Adelaide Road - 24 Adelaide Rd">Mount Barker Adelaide Road - 24 Adelaide Rd</option>
<option value="Mount Barker - Wellington Road">Mount Barker - Wellington Road</option>
<option value="Mount Druitt (NSW) - 17 Mount Street">Mount Druitt (NSW) - 17 Mount Street</option>
<option value="Mount Gambier - 29 Penola Rd">Mount Gambier - 29 Penola Rd</option>
<option value="Mount Gambier East - 1 Ramsay Ave">Mount Gambier East - 1 Ramsay Ave</option>
<option value="Munno Para - 43 Main North Road">Munno Para - 43 Main North Road</option>
<option value="Munno Para West - 248 Curtis Rd">Munno Para West - 248 Curtis Rd</option>
<option value="Murray Bridge (Adelaide Rd) - 177 Adelaide Rd">Murray Bridge (Adelaide Rd) - 177 Adelaide Rd</option>
<option value="Murray Bridge (Swanport Rd) - 159 Swanport Rd">Murray Bridge (Swanport Rd) - 159 Swanport Rd</option>
<option value="Murray Bridge Eastside - 61 Old Princes Highway">Murray Bridge Eastside - 61 Old Princes Highway</option>
<option value="Murray View - 10 Princess Highway">Murray View - 10 Princess Highway</option>
<option value="Naracoorte - 1 Deviation Rd">Naracoorte - 1 Deviation Rd</option>
<option value="Newton - 72 Gorge Rd">Newton - 72 Gorge Rd</option>
<option value="North Terrace - Ground Floor, 144 North Tce">North Terrace - Ground Floor, 144 North Tce</option>
<option value="Norwood - 76 The Parade">Norwood - 76 The Parade</option>
<option value="Nuriootpa - Cnr Tanunda Rd & New Rd">Nuriootpa - Cnr Tanunda Rd & New Rd</option>
<option value="O'Halloran Hill - 131 Main South Rd O'Halloran Hill">O'Halloran Hill - 131 Main South Rd O'Halloran Hill</option>
<option value="Old Reynella - 133 Old South Rd">Old Reynella - 133 Old South Rd</option>
<option value="Old Noarlunga - 617-641 Main S Rd">Old Noarlunga - 617-641 Main S Rd</option>
<option value="Parafield - Lot 12 Kings Rd">Parafield - Lot 12 Kings Rd</option>
<option value="OTR Parafield Gardens - 225-241 Martins Road">OTR Parafield Gardens - 225-241 Martins Road</option>
<option value="Para Hills - 321 Bridge Rd">Para Hills - 321 Bridge Rd</option>
<option value="Para Hills West (DT) - 1351 Main South Rd">Para Hills West (DT) - 1351 Main South Rd</option>
<option value="Paralowie - 926 Port Wakefield Rd">Paralowie - 926 Port Wakefield Rd</option>
<option value="Pasadena - 14 Fiveash Dr">Pasadena - 14 Fiveash Dr</option>
<option value="Peterhead - 107 Victoria Rd">Peterhead - 107 Victoria Rd</option>
<option value="Pinnaroo - 6 Mallee Hwy">Pinnaroo - 6 Mallee Hwy</option>
<option value="Plympton - 279 Anzac Hwy">Plympton - 279 Anzac Hwy</option>
<option value="Pooraka - 126 Bridge Rd">Pooraka - 126 Bridge Rd</option>
<option value="Port Augusta - Cnr Princes Highway & Northern Power Station Rd">Port Augusta - Cnr Princes Highway & Northern Power Station Rd</option>
<option value="Port Augusta West - 4 Eyre Highway">Port Augusta West - 4 Eyre Highway</option>
<option value="Port Wakefield (22 Snowtown Rd)">Port Wakefield (22 Snowtown Rd)</option>
<option value="Portland (VIC) - 140b Percy St">Portland (VIC) - 140b Percy St</option>
<option value="Port Lincoln - 22 Kings St">Port Lincoln - 22 Kings St</option>
<option value="Port Lincoln Hallet Place - 20-26 Hallet Place">Port Lincoln Hallet Place - 20-26 Hallet Place</option>
<option value="Port Pirie South - 328 Senate Rd">Port Pirie South - 328 Senate Rd</option>
<option value="Port Wakefield Rd - 859 Port Wakefield Rd">Port Wakefield Rd - 859 Port Wakefield Rd</option>
<option value="Prestons (NSW)">Prestons (NSW)</option>
<option value="Prospect - 68 Prospect Rd">Prospect - 68 Prospect Rd</option>
<option value="Pulteney Street - 139 Angas Street">Pulteney Street - 139 Angas Street</option>
<option value="Renmark - 292 Renmark Ave">Renmark - 292 Renmark Ave</option>
<option value="Old Reynella - 133 Old South Road">Old Reynella - 133 Old South Road</option>
<option value="Ridleyton - 231 South Rd">Ridleyton - 231 South Rd</option>
<option value="Rosewater - 125 Grand Junction Rd">Rosewater - 125 Grand Junction Rd</option>
<option value="Roleystone (WA) - 770 Brookton Highway">Roleystone (WA) - 770 Brookton Highway</option>
<option value="Rundle Street - 179 Rundle Street">Rundle Street - 179 Rundle Street</option>
<option value="Salisbury (Commercial Rd) - 55 Commercial Rd">Salisbury (Commercial Rd) - 55 Commercial Rd</option>
<option value="Salisbury Downs - 328 Salisbury Hwy">Salisbury Downs - 328 Salisbury Hwy</option>
<option value="Salisbury North - 102 Waterloo Corner Rd">Salisbury North - 102 Waterloo Corner Rd</option>
<option value="Salisbury (DT) - 138 Salisbury Hwy">Salisbury (DT) - 138 Salisbury Hwy</option>
<option value="Salisbury (Parabanks) - 106 Salisbury Hwy">Salisbury (Parabanks) - 106 Salisbury Hwy</option>
<option value="Salisbury (Park Terrace) - 105 Park Terrace">Salisbury (Park Terrace) - 105 Park Terrace</option>
<option value="Seaford - 104 Commercial Rd">Seaford - 104 Commercial Rd</option>
<option value="Seaton - 356 Tapleys Hill Rd">Seaton - 356 Tapleys Hill Rd</option>
<option value="Seaview Downs - 216 Seacombe Rd">Seaview Downs - 216 Seacombe Rd</option>
<option value="Sheidow Park - 2 Commercial Rd">Sheidow Park - 2 Commercial Rd</option>
<option value="Smithfield - 23 Main North Rd">Smithfield - 23 Main North Rd</option>
<option value="South Brighton - 588 Brighton Rd">South Brighton - 588 Brighton Rd</option>
<option value="South Plympton - Marion Rd & Cross Rd">South Plympton - Marion Rd & Cross Rd</option>
<option value="South Plympton (DT) - 501 Marion Rd">South Plympton (DT) - 501 Marion Rd</option>
<option value="St Mary's - 1175 South Rd">St Mary's - 1175 South Rd</option>
<option value="St Kilda Marina (VIC) - 54a Marine Parade">St Kilda Marina (VIC) - 54a Marine Parade</option>
<option value="Stawell (VIC) - 34 Ararat Rd">Stawell (VIC) - 34 Ararat Rd</option>
<option value="Stepney - 90 Payneham Rd">Stepney - 90 Payneham Rd</option>
<option value="Strathalbyn - South Australia">Strathalbyn - South Australia</option>
<option value="Surrey Downs - 665 Golden Grove Rd">Surrey Downs - 665 Golden Grove Rd</option>
<option value="Super Sprint Store - 543 Dukes Hwy">Super Sprint Store - 543 Dukes Hwy</option>
<option value="Tailem Bend (Inbound) - 10 Princes Hwy">Tailem Bend (Inbound) - 10 Princes Hwy</option>
<option value="Tanunda - 212 Murray St">Tanunda - 212 Murray St</option>
<option value="Thorngate - 20A Main North Rd">Thorngate - 20A Main North Rd</option>
<option value="Tranmere - 172 Glynburn Rd">Tranmere - 172 Glynburn Rd</option>
<option value="Trinity Gardens - 257 Magill Rd">Trinity Gardens - 257 Magill Rd</option>
<option value="Two Wells - Old Port Wakefield Rd">Two Wells - Old Port Wakefield Rd</option>
<option value="Underdale - 282 Henley Beach Rd">Underdale - 282 Henley Beach Rd</option>
<option value="Unley - 17 King William Rd">Unley - 17 King William Rd</option>
<option value="Victor Harbor - 310 Port Elliot Rd">Victor Harbor - 310 Port Elliot Rd</option>
<option value="Virginia - Lot 37 Old Port Wakefield Rd">Virginia - Lot 37 Old Port Wakefield Rd</option>
<option value="Walkerville - 68 North East Rd">Walkerville - 68 North East Rd</option>
<option value="Wayville - 51 Goodwood Rd">Wayville - 51 Goodwood Rd</option>
<option value="Welland - 522 Port Rd">Welland - 522 Port Rd</option>
<option value="West Beach - 89 Military Rd">West Beach - 89 Military Rd</option>
<option value="West Wodonga (VIC) - 5 Moorefield Park Drive">West Wodonga (VIC) - 5 Moorefield Park Drive</option>
<option value="West Croydon - 561 Port Rd">West Croydon - 561 Port Rd</option>
<option value="West Terrace - Cnr West Tce & Currie St">West Terrace - Cnr West Tce & Currie St</option>
<option value="Whyalla Playford - 48-50 Playford Ave">Whyalla Playford - 48-50 Playford Ave</option>
<option value="Whyalla McRitchie - 21-33 McRitchie Cres">Whyalla McRitchie - 21-33 McRitchie Cres</option>
<option value="Woodville Park (David Terrace) - 81 David Terrace">Woodville Park (David Terrace) - 81 David Terrace</option>
<option value="Woodville Park (DT) - 701 Port Rd">Woodville Park (DT) - 701 Port Rd</option>
<option value="Woodville South - 1 Woodville Rd">Woodville South - 1 Woodville Rd</option>
<option value="Woodville West - 938 Port Rd">Woodville West - 938 Port Rd</option>
</select></div>
</li>
<li id="field_5_15"
class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_5_15" data-conditional-logic="visible"><label class="gfield_label gform-field-label" for="input_5_15">Date of Visit<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_date">
<input name="input_15" id="input_5_15" type="text" value="" class="datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon hasDatepicker initialized" placeholder="dd/mm/yyyy" aria-describedby="input_5_15_date_format"
aria-invalid="false" aria-required="true" data-conditional-logic="visible"><img class="ui-datepicker-trigger" src="https://www.otr.com.au/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg" alt="Select date"
title="Select date">
<span id="input_5_15_date_format" class="screen-reader-text">DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_5_15" class="gform_hidden" value="https://www.otr.com.au/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg" data-conditional-logic="visible">
</li>
<li id="field_5_16" class="gfield gfield--type-time gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_16"
data-conditional-logic="visible"><label class="gfield_label gform-field-label gfield_label_before_complex">Time of Visit<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_complex gform-grid-row">
<div class="clear-multi">
<div class="gfield_time_hour ginput_container ginput_container_time gform-grid-col" id="input_5_16">
<input type="number" maxlength="2" name="input_16[]" id="input_5_16_1" value="" min="0" max="12" step="1" placeholder="HH" aria-required="true" data-conditional-logic="visible"> <i>:</i>
<label class="gform-field-label gform-field-label--type-sub hour_label screen-reader-text" for="input_5_16_1">Hours</label>
</div>
<div class="gfield_time_minute ginput_container ginput_container_time gform-grid-col">
<input type="number" maxlength="2" name="input_16[]" id="input_5_16_2" value="" min="0" max="59" step="1" placeholder="MM" aria-required="true" data-conditional-logic="visible">
<label class="gform-field-label gform-field-label--type-sub minute_label screen-reader-text" for="input_5_16_2">Minutes</label>
</div>
<div class="gfield_time_ampm ginput_container ginput_container_time below gform-grid-col">
<select name="input_16[]" id="input_5_16_3" data-conditional-logic="visible">
<option value="am">AM</option>
<option value="pm">PM</option>
</select>
<label class="gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text" for="input_5_16_3">AM/PM</label>
</div>
</div>
</div>
</li>
<li id="field_5_1" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_5_1"><label
class="gfield_label gform-field-label" for="input_5_1">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_5_1" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_5_2" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_5_2"><label
class="gfield_label gform-field-label" for="input_5_2">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_5_2" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_5_12" class="gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_12"><br style="clear: both"></li>
<li id="field_5_3" class="gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_5_3"><label
class="gfield_label gform-field-label" for="input_5_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_5_3" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</li>
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We want to ensure that your OTR shopping experience is fantastic! Please fill
out the information below so we can follow up on your feedback or enquiry as
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contact our Customer Service Team on 08 8876 5271 (Mon-Fri, 8am to 6pm ACST.
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[SELECT ENQUIRY TYPE]Store FeedbackGeneral Enquiries
* Store*
[SELECT A STORE]Aberfoyle Park - 7 Park AveAlberton - 156 Port RdAldinga - 3
Port RdAngle Park - 610 South RdAlphington (VIC) - 779-785 Heidelberg RdAngle
Vale - 131 Heaslip RdAthelstone - 310 Gorge RdBalhannah - 93 Onkaparinga
Valley RoadBelair - 1 Main RdBerri - 1314 Old Sturt HwyBlackwood - 203 Main
RoadBlair Athol - 402 Main North RdBrighton - 480 Brighton RdBroken Hill
Patton Street (NSW) - BARANGAROOBroadview - 150 Hampstead RdBrompton - 73
Torrens RdBull Creek (WA) - Cnr Parry Dr & Wheately RdCavan (Inbound) - 144
Port Wakefield RdCavan (Outbound DT) - 113 Port Wakefield RdCasula (NSW) -
646 Hume HighwayCeduna - 35 Eyre HwyChristies Beach (Beach Rd) - 124 Beach
RdChristies Beach (Dyson Rd) - 159 Dyson RdChristies Beach (Gulfview Rd) - 35
Gulfview RdClare - 186 Main North RdClarence Park - 340 Goodwood RdClovelly
Park - 1172-1174 Main South RoadCroydon Park - 207 Regency RdComo (WA) - 73
Manning RoadDarlington - 1487 Main South RdDavoren Park - 41 Peachey
RdDernancourt - 819 Lower North East RdDry Creek - 11 Vater StElizabeth - 17
Philip HwyElizabeth (DT) - 11 Elizabeth WayElizabeth South - Lot 2 John Rice
AveErindale - 372 Kensington RdEvandale - 87 Portrush RdEvanston - 496 Main
North RdEvanston Gardens - 35 Angle Vale RdFlinders Park - 148 Grange
RdFulham - 510 Henley Beach RdFulham Gardens (DT) - 471 Tapleys Hill
RdFrankston (VIC) - 521-523 Napean HighwayFrankston Flinders Road
(VIC)Fullarton - 390 Fullarton RdGepps Cross - 591 Grand Junction RdGlandore
(DT) - 134 Anzac HwyGlen Osmond - 411 Glen Osmond RdGlenelg East - 66
Brighton RdGlengowrie - 80 Oaklands RdGlenside - 282 Greenhill RdGlenunga -
303 Glen Osmond RdGolden Grove - Lot 1031 Helicon DrGouger St (Adelaide CBD)
- 76 Gouger StGreenacres - 325 North East RdHackney - 11-15 Hackney
RoadHamilton (VIC) - 86-90 Coleraine RoadHarbourtown (DT) - Cnr Tapleys Hill
Rd & West Beach RdHazelwood Park - 465 Glynburn RdHillbank - Lot 92 Main
North RdHillcrest - 431 North East RdHilton - 79 Sir Donald Bradman DrHolden
Hill North - 742 North East RdHolden Hill South - Cnr North East Rd & Tarton
RdHorsham Dimboola Rd (VIC) - Cnr Dimboola Rd & Wawunna RdHorsham Wilson St
(VIC) - Cnr Wilson St & Darlot StIrymple (VIC) - 2090 Fifteenth StKadina - 19
Frances TceKatherine (NT) - 85 Bicentennial RdKapunda - 1 Mildred
StKensington Gardens - 408 Magill RdKent Town - 1 Fullarton RdKingscote - 10
Telegraph RdKingston (SE) - 1 Princess HwyKensington - 294 The
ParadeKingswood - 1 Belair RdKurralta Park - 488 South RdLargs Bay (Military
Rd) - 354 Military RdLargs Bay (Victoria Rd) - 208 Victoria RdLane Cove (NSW)
- 254 Burns Bay RoadLakes Entrance (VIC) - 413 EsplanadeLinden Park - 460
Greenhill RdLittlehampton - 81 North TceLoxton (French Rd)Loxton (Roundabout)
- 50 Bookpurnong TceManning (WA) - 73 Manning RdMarryatville - 287 Kensington
RoadMannum - 50 Adelaide RdMarion - 752 Marion RdMawson Lakes - 7 Central
LinkMildura (VIC) - 463 Deakin AveMile End (DT) - 195 South RdMitchell Park -
843 Marion RdModbury - 931 North East RdMorphett Vale (Inbound) - 131 Main
South Rd Morphett ValeMorphett Vale (Outbound) - 140 Main South RdMotorsport
Park - 543 Dukes HwyMount Barker Knott Street - 18 Knott StMount Barker
Adelaide Road - 24 Adelaide RdMount Barker - Wellington RoadMount Druitt
(NSW) - 17 Mount StreetMount Gambier - 29 Penola RdMount Gambier East - 1
Ramsay AveMunno Para - 43 Main North RoadMunno Para West - 248 Curtis
RdMurray Bridge (Adelaide Rd) - 177 Adelaide RdMurray Bridge (Swanport Rd) -
159 Swanport RdMurray Bridge Eastside - 61 Old Princes HighwayMurray View -
10 Princess HighwayNaracoorte - 1 Deviation RdNewton - 72 Gorge RdNorth
Terrace - Ground Floor, 144 North TceNorwood - 76 The ParadeNuriootpa - Cnr
Tanunda Rd & New RdO'Halloran Hill - 131 Main South Rd O'Halloran HillOld
Reynella - 133 Old South RdOld Noarlunga - 617-641 Main S RdParafield - Lot
12 Kings RdOTR Parafield Gardens - 225-241 Martins RoadPara Hills - 321
Bridge RdPara Hills West (DT) - 1351 Main South RdParalowie - 926 Port
Wakefield RdPasadena - 14 Fiveash DrPeterhead - 107 Victoria RdPinnaroo - 6
Mallee HwyPlympton - 279 Anzac HwyPooraka - 126 Bridge RdPort Augusta - Cnr
Princes Highway & Northern Power Station RdPort Augusta West - 4 Eyre
HighwayPort Wakefield (22 Snowtown Rd)Portland (VIC) - 140b Percy StPort
Lincoln - 22 Kings StPort Lincoln Hallet Place - 20-26 Hallet PlacePort Pirie
South - 328 Senate RdPort Wakefield Rd - 859 Port Wakefield RdPrestons
(NSW)Prospect - 68 Prospect RdPulteney Street - 139 Angas StreetRenmark - 292
Renmark AveOld Reynella - 133 Old South RoadRidleyton - 231 South RdRosewater
- 125 Grand Junction RdRoleystone (WA) - 770 Brookton HighwayRundle Street -
179 Rundle StreetSalisbury (Commercial Rd) - 55 Commercial RdSalisbury Downs
- 328 Salisbury HwySalisbury North - 102 Waterloo Corner RdSalisbury (DT) -
138 Salisbury HwySalisbury (Parabanks) - 106 Salisbury HwySalisbury (Park
Terrace) - 105 Park TerraceSeaford - 104 Commercial RdSeaton - 356 Tapleys
Hill RdSeaview Downs - 216 Seacombe RdSheidow Park - 2 Commercial
RdSmithfield - 23 Main North RdSouth Brighton - 588 Brighton RdSouth Plympton
- Marion Rd & Cross RdSouth Plympton (DT) - 501 Marion RdSt Mary's - 1175
South RdSt Kilda Marina (VIC) - 54a Marine ParadeStawell (VIC) - 34 Ararat
RdStepney - 90 Payneham RdStrathalbyn - South AustraliaSurrey Downs - 665
Golden Grove RdSuper Sprint Store - 543 Dukes HwyTailem Bend (Inbound) - 10
Princes HwyTanunda - 212 Murray StThorngate - 20A Main North RdTranmere - 172
Glynburn RdTrinity Gardens - 257 Magill RdTwo Wells - Old Port Wakefield
RdUnderdale - 282 Henley Beach RdUnley - 17 King William RdVictor Harbor -
310 Port Elliot RdVirginia - Lot 37 Old Port Wakefield RdWalkerville - 68
North East RdWayville - 51 Goodwood RdWelland - 522 Port RdWest Beach - 89
Military RdWest Wodonga (VIC) - 5 Moorefield Park DriveWest Croydon - 561
Port RdWest Terrace - Cnr West Tce & Currie StWhyalla Playford - 48-50
Playford AveWhyalla McRitchie - 21-33 McRitchie CresWoodville Park (David
Terrace) - 81 David TerraceWoodville Park (DT) - 701 Port RdWoodville South -
1 Woodville RdWoodville West - 938 Port Rd
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