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* 1. Preferred prize:

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* 2. First name

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* 3. Surname

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* 4. Email address

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* 5. Contact number

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* 6. Address

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* 7. Suburb

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* 8. State

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* 9. Postcode

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* 10. I wish to subscribe to NMFC communications and understand that my personal information will be collected and used in accordance with the AFL privacy policy, viewable at NMFC.com.au/privacy.

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* 11. I wish to receive communication from Powershop in accordance with its privacy policy, viewable at http://powershop.com.au/privacy-policy/

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