Tara Rural Supplies
Loyalty Card Application
46 Day Street, Tara QLD 4421 Phone 07 4665 3366 Email Accounts@tararuralsupplies.com.au ABN 48 055 323 294
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Gun License (If applicable)
Gun License Expiry Date
Name on License
Type of Business (If Applicable)
Cattle
Sheep
Horses
Goats
Poultry
Wheat
Sorgum
Chickpea
Other
PIC Number (If applicable)
NGR Number (If Application)
Terms and Conditions
1. Points are Calculated at the discretion of Tara Rural Supplies Loyalty Point System. 2. Each point is worth 10cents. 3. Points are accumulated throughout the year until December 1st, when the accumulated points will be available to redeem by way of voucher. 4. This voucher can only be redeemed at Tara Rural Supplies and cannot be exchanged for cash or Credit. 5. Vouchers will only be issued once a year during the month of December and will be valid for 30 Days. 6. Should you change address, please advise Tara Rural Supplies so that you can still accumulate points and receive your voucher. 7. Loyalty Card must be presented at time of purchase to accumulate points. 8. For account customers only: Should your account become overdue, you will not be able to accrue points until your account is paid up to date. 9. By completing this form you are agreeing to receiving our monthly newsletter. To opt out please click the option at the bottom of your first email from us.
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First Name
Last Name
Signature
Date
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Month
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Day
Year
Date
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