Xotica 2011 December Door Prize Competition

** Now extended to 28 January!

pro-Z 2011 door prize

One lucky patron will win a Pro Z 125cc Outlaw Pitbike valued at $1750!

Please complete the form below to enter. Online entries commence 12 noon Thursday December 1st and close 12 noon Wednesday 28 January 2012. As soon as we receive your entry we'll send a ticket stub with your number to your address.

Winner drawn at Xotica Nightclub at midnight 28 January. Winner notified by email or phone or by visiting www.xotica.com.au

Please note: To qualify for entry, you must complete all required fields indicated below.

 

* Your Name:

* Your Address:

*Your Email:

* Your Phone Number

Your Birthday

* required
   
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