OM SYSTEM Summer Cashback Promotion Claim Form

Name*

First NameLast Name

Email*

example@example.com

Date of Birth*

DD/MM/YYYY - Date/Month/Year (used for card activation purposes)

Phone Number*

Numbers only, No Spaces

Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code

Country*

How Many Products are you claiming on this entry?*

Product Type*

Product 1 Camera*

Product 1 Lens

Product 1 Serial Number*

Product Type

Product 2 Camera

Product 2 Lens

Product 2 Serial Number*

Product Type

Product 3 Camera

Product 3 Lens

Product 3 Serial Number*

Store of Purchase*

Date of Purchase

For Purchases made via Amazon AU

To verify that your purchase is eligible for this Promotion:

Check that Amazon AU is listed as the "Sold by" seller on your Amazon order confirmation or on the product listing

If you're unsure or have questions about your purchase, feel free to contact us with your order details, and we’ll be happy to assist.

Proof of Purchase Requirement

To be eligible for the OM SYSTEM Summer Cashback Promotion, your selected camera or lens must have been purchased during the promotional period and be from an authorised Australian or New Zealand retailer.

The promotional period is 1 December 2025 - 31 January 2026 for your claim to be valid. Authorised Australian & New Zealand retailers can be found here.

A legible copy of the Tax Invoice / Receipt detailing the date of purchase and purchase price is required to be eligible for the bonus offer promotion.

Copy of Purchase Receipt*

Maximum 8MB

Visa Card Value

Visa/Mastercard Delivery

There are two options for us to provide your prepaid Visa/Mastercard.

- A physical prepaid Visa/Mastercard delivered to your postal address.

- A digital prepaid Visa/Mastercard requiring the use of your smartphone's mobile wallet. (Australian residents only)

For more information on digital cards, please visit https://card.gift/faqs

Please select the preferred delivery of your prepaid Visa/Mastercard:*

Physical prepaid Visa/Mastercard delivered to postal addressDigital prepaid Visa/Mastercard delivered to smartphone (Australian residents only)