OM SYSTEM Winter 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 Winter 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 15 June 2026 - 31 July 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.

For more information on digital cards, please visit https://ichoosegift.mycardplace.com/

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