Love My Town - September 2021

SPONSORED BY EUREKA GOLD

PLEASE FILL OUT THE FOLLOWING TO DONATE TODAY


Full Name *
Farm Address *
Contact No. *
(example: 012 3456 789 or 01 2345 6789)
E-Mail Address *
Age *
Flock Size *
Farm Type
How did you find out about this promotion?
Amount of Eureka Gold drums purchased *
(Auto donation based on drum number x $10)
What was the name of the reseller you bought Eureka Gold from? **
Which charity would you like to donate your love my town cash to? **
Attach proof of purchase *
I would like to receive information on products, services and offers from Zagro in the future. I also agree to TERMS AND CONDITIONS.

* - denotes information must be provided.
** - we may contact the reseller to verify this claim.
Important Note: Attachments cannot exceed 5MB. Please supply proof of purchase as IMAGE or PDF file.

Animal Nutrition & Protection Products

Visit Zagro.com.au for our full range of animal health products.

View Website