Please Note: All fields need to be completed

Section 1: Promoter details

Name of promotion

Company/promoter name

Company/promoter registration number

Company/promoter physical address

Company/promoter URL/website link/link to T&C’s

Details of person responsible for running the competition

First Names

Surname

ID Number

Email Address

Advertising agency

Name

Registration number

Physical address

Section 2: Prize details

Can people under the age of 18 years enter the promotion

Details of how winners will be selected

Date on which prizes will be drawn

Date on which winners will be notified

Details of how winners will be notified

Details of how prize will be redeemed/handed over

Section 3: Audit information

First name of person

Surname of person

ID number of person

Designation person auditing the promotion (accountant/attorney)

First name of person responsible for selecting the winner

Surname of person responsible for selecting the winner

ID number of person responsible for selecting the winner

Email address of person responsible for selecting the winner

Telephone number of person responsible for selecting the winner

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