"anonymous">

Complete the form below to enter for your chance to win up to $200,000 weekly

First Name
Last Name
Email Address
Phone
Age Range
Gender
TRN

Why do we need your TRN?

Your TRN is unique to you and it will be used to validate our winner.

Which dose are you entering?
Parish where the dose was received
Vaccination Center
Batch Number
The form requires you attention please fill out all details.