OM SYSTEM MONTH Promotion Claim Form

Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Country*
What product have you purchased?*
OM-1 Mark II: Bonus HLD-10 Power Battery Holder
OM-1 Mark II Serial Number*
Selected Lenses*: Bonus MC-14 Teleconvertor

*40-150mm F2.8 PRO, 90mm F3.5 PRO, 150-400mm F4.5 TC1.25x IS PRO, 100-400mm F5.0-6.3 IS, 150-600mm F5.0-6.3 IS, 300mm F4.0 IS PRO
Lens Serial Number*
PT-059 Underwater Housing: Bonus $100 Cashback
Store Of Purchase*
Date of Purchase*
Proof of Purchase Requirement

To be eligible for the OM SYSTEM MONTH Promotion, your eligible product must have been purchased during the promotional period and be from an authorised Australian or New Zealand retailer. A copy of the receipt detailing the date of purchase, itemised products and price is required to be eligible for the bonus offer promotion.

The promotional period for your claim to be valid is 1 October 2024 and 31 October 2024. Authorised Australian & New Zealand retailers can be found here.
Copy of Purchase Receipt*

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