Cash Rewards Card Application Form

Cash Rewards cards can only be posted within New Zealand. If you are visiting New Zealand
from overseas you are welcome to join Cash Rewards by collecting a Cash Rewards card
from any participating Outlet in New Zealand. Enjoy your rewards!

Contact Details

Title:

First Name: *

Last Name: *

Date of Birth: *

- -
Day - Month - Year

Postal Address: *



Post Code:

Daytime Phone:

-
Area Code - Phone

Mobile:

-
Area Code - Phone

eMail:

Declaration of Acceptance

I certify that I have read and agree with the Cash Rewards Privacy
Statement and Terms and Conditions, which can be found here.
Online application is available to New Zealand residents only.

 

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