Name

Email

Mobile Number

Place of Purchase
—Please choose an option—FairPriceFairPrice XtraFairPrice FinestCold StorageCS FreshGiant

Items Purchased
PintsSammies
Date of Purchase
—Please choose an option—08 Dec 202209 Dec 202210 Dec 202211 Dec 202212 Dec 202213 Dec 202214 Dec 202215 Dec 202216 Dec 202217 Dec 202218 Dec 202219 Dec 202220 Dec 202221 Dec 202222 Dec 202223 Dec 202224 Dec 202225 Dec 202226 Dec 202227 Dec 202228 Dec 202229 Dec 202230 Dec 202231 Dec 202201 Jan 202302 Jan 202303 Jan 202304 Jan 202305 Jan 202306 Jan 202307 Jan 202308 Jan 202309 Jan 202310 Jan 202311 Jan 202312 Jan 202313 Jan 202314 Jan 202315 Jan 202316 Jan 202317 Jan 202318 Jan 202319 Jan 202320 Jan 202321 Jan 202322 Jan 202323 Jan 202324 Jan 202325 Jan 202326 Jan 202327 Jan 202328 Jan 202329 Jan 202330 Jan 202331 Jan 2023

Upload Receipt

I agree to the terms and conditions of this promotion