To enter the draw, please complete the form below, entering two unique win codes from inside the promotional labels on 2 specially marked bottles of Taylors Estate or Promised Land wine. After you have entered, please put your WIN code labels and your receipts somewhere safe - you will need them to claim your prize if you are a winner. Remember, you could win: $250 of Taylors wine instantly a 5-day South Australian Wine Discovery Holiday for 4 (entries close 5pm AEST, Wednesday 31/03/2010). a 1 in 100 chance to win $250,000 (entries close 5pm AEST, Wednesday 18/08/2010). And don’t forget, enter again for more chances to win! Please Note: Entry open to Australian residents only.

Name:	Title: MrMsMissMrsDrHonRevProf     First:     Last:
Address:
City/Suburb :
State:	NSWQLDSATASVICWANTACT
Postcode:
Telephone:	(  )   (So we can contact you if you win)
Email:	(So we can contact you if you win)
Age Group:	18 to 3031 to 4546 to 60Over 60
Products Purchased:	First Product: Taylors Estate Red Taylors Estate White Promised Land Red Promised Land White Second Product: Taylors Estate Red Taylors Estate White Promised Land Red Promised Land White (Select the 2 Taylors products you purchased)
First WIN Code:
Second WIN Code:
Stay in Touch:	Would you like to receive a quarterly e-newsletter from Taylors wines? Yes     No
By submitting this form, you indicate that you have read and understood the Terms & Conditions of this promotion, and that you agree to be bound by them.
Help: If you are unable to enter and need assistance please email your enquiry to help@newpromotion.taylorswines.com.au or call 1300 671 602 between 9am and 5pm (Sydney time) Monday to Friday.