FIRST NAME:   SURNAME:

DATE OF BIRTH (dd/mm/yyyy):

ADDRESS:

TOWN:  POSTCODE:

EMAIL:

PHONE:   MOBILE: WORK:

GENDER:  Male Female           GVFL CLUB SUPPORTED: Select a Team ------------------ Benalla Echuca Euroa Kyabram Mansfield Mooroopna Rochester Seymour Shepparton Shepp Swans Shepp United Tatura NONE

HAS JASON’S TV EVER BEEN TO YOUR HOUSE? 

I understand that if I am notified as the winner I MUST be at the 2010 GVFL Grand Final in person to collect the TV if or I forfeit the the TV and it will be redrawn 

Terms and Conditions ------------------------- Only one entry per email address. Entrants must be over 18 years of age. Giveaway will be drawn by Jason from Jason's TV during half time of the 2010 GVFL Preliminary Final and presented to the winner the following week during half time of the 2010 GVFL Grand Final. The winner will be contacted via email and/or phone and MUST be present at the 2010 GVFL Grand Final to receive the TV in person or they will be disqualified and the giveaway will be redrawn until a winner is at the ground and can collect the TV in person. So even if you do not win, be at the 2010 GVFL Grand Final because if the winner does not show up at the grand final to collect the TV you could still win. Jason’s TV will fully install the TV anywhere within a 120km radius of Shepparton at no extra charge. Package consists of an LG 106cm Plasma TV with 2.5 years warranty, 6 way surge protector and any antenna equipment required to make the TV work correctly as a digital TV. Any other cables and accessories are at a cost to the winner. Jason’s TV will contact all entrants with details of the winner after the prize has been collected.

I have read and agree to the above terms and conditions