Community CashBack Card

Nominate Local Club or Organisation for CashBack

You can nominate any organisation or club to receive the benefits of the the CashBack program.

Remember, all CashBack sales support your local community. We will contact the organisation you nominate, and keep you informed on the progress.

Bold fields are required.

Organisation Nomination Details

Please enter the name and area the Organisation or Club is located in.

You can nominate any Organisation you would like to see benefit from this program.

Organisation Name:

Organisation Location: (suburb/postcode)

Organisation Phone:

Organisation Address:

Your Contact Information

Please enter your full email address, for example, name@domain.com

Your phone number will not be shared or used for telemarketing. Your information is protected by our Privacy Policy.

Contact Option: Phone Email None

Name:

Email:

Phone:

Your CashBack Card Number

Where did you hear about Community CashBack?

Enter Postcode or Location: