Haier Promo | Enter

Claim
Step 1: Your Details
First Name*
Last Name*
Date of Birth*
DD slash MM slash YYYY
This field is hidden when viewing the form
authentication*
This field is hidden when viewing the form
Email Count
Email*
Email Address* Confirm Email Address*
Mobile Phone Number*
Confirm Mobile Phone Number*
This field is hidden when viewing the form
Phone*
Address*
Suburb*
State*
Postcode*
Country*
Step 2: Purchase Details
Claim 1 (DETAILS OF FIRST PRODUCT PURCHASED)
Retailer Purchased From*
This field is hidden when viewing the form
Receipt Number Count
This field is hidden when viewing the form
Brand*
Model Number*
This field is hidden when viewing the form
Machine Type
Serial Number*
Where can I find my serial number?
Receipt Number*
Purchase Date*
DD slash MM slash YYYY
This field is hidden when viewing the form
RRP Value
This field is hidden when viewing the form
Subscription Value
Invoice - upload your receipt here*
Maximum file size: 2MB each. File types accepted - PDF, JPG, JPEG, PNG or GIF only
Claiming for one product only.
- Claiming for one product only.
PURCHASE DETAILS
Retailer Purchased From*
Brand*
Model Number*
Machine Type*
Serial Number
Receipt Number*
Date of Purchase*
DD slash MM slash YYYY
This field is hidden when viewing the form
RRP Value
This field is hidden when viewing the form
Subscription Value 2
Invoice - upload your receipt here
Maximum file size: 2MB each. File types accepted - PDF, JPG, JPEG, PNG or GIF only
Claiming for two product only.
- Claiming for two product only.
Claim 3 (DETAILS OF THIRD PRODUCT PURCHASED, IF APPLICABLE)
Retailer
Purchase Date
DD slash MM slash YYYY
Receipt Number
Brand
Model Number
This field is hidden when viewing the form
EAN
Serial Number
Invoice - upload your receipt here*
Maximum file size: 2MB each. File types accepted - PDF, JPG, JPEG, PNG or GIF only
This field is hidden when viewing the form
RRP Value
This field is hidden when viewing the form
Subscription Value 3
Step 3: SELECT WHETHER YOU WOULD LIKE TO RECEIVE A DIGITAL VISA CARD OR PHYSICAL CARD
This field is hidden when viewing the form
Redemption Selection Type
- Physical Visa Card
- Digital Visa Card
*
- I have read & agreed to the Terms & Conditions and Privacy Policy.*
- I consent to the promoter collecting my personal information for future marketing & promotional use, including National Product Review
This field is hidden when viewing the form
- I consent to Sheridan collecting my personal information for future marketing & promotional use.
This field is hidden when viewing the form
Validity
This field is hidden when viewing the form
Resubmission Notes
This field is hidden when viewing the form
Unsuccessful Notes
Unique ID

PURCHASE DETAILS