Kyron Agri | Event Lucky Draw Entries

Events Competition Entry Form

Name

Surname

Choose one of the following:

Veterinary Industry: Veterinary Industry:

Farming Industry: Farming Industry:

Optional: Practice / Farm name:

Town Name

Province

Phone Number

Privacy

I have read can accept the Privacy and PAIA manual below and recognize that the company is only using my personal details for this competition and is abiding by the POPI act.

I would like a representative to contact me with more product information. Yes / No

Yes

T’s & C’s

I hereby agree to the Terms and Conditions for the competition entry.

If you are human, leave this field blank.