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Positive Rewards Registration

If you are not a member of POSitive Rewards, or you have forgotten your number, complete the form below. Remember to include you POSitive Reward number every time you complete an application to be eligible for our prize draws.

Every month, twenty $50 vouchers are up for grabs
And our quarterly Super Prize draw is $2,000 cash!

If you have any questions about POSitive Rewards please contact your Area Manager. For Terms and Conditions please click here.

Personal Details

Title*

First Name*

Surname*

Date Of Birth*

Personal Email Address *

Confirm Email Address *

Home Address

Street Address*

Suburb*

City*

Physical Post Code*

Phone Numbers

Home Phone*

Work Phone*

Mobile*

Retailer Details

Retailer Number (NOT your QIK login) *

Store Name*

Area Manager*

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Your email address has already been registered for Positive Rewards. Click here if you'd like to get your POSitive Reward Number emailed to you.
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