Outback Lucky Draw Prize Registration Form / Outback 抽獎得獎登記表格

1.姓名 / Name:

請輸入您的全名 Please enter your full name

2.電話號碼 / Phone Number:

我們將透過此號碼聯絡您 We will contact you through this number

3.電郵地址 / Email Address:

用於接收結果通知 For prize result notification

4. Upload Screenshot of Your Wallet Stamp Card / 上傳電子印花卡畫面截圖

Upload a screenshot from your Apple Wallet or Google Wallet showing 8 stamps and the QR Code. 請上傳您 Apple Wallet 或 Google Wallet 中的電子印花卡畫面,需清楚顯示 8 個印花及 QR Code。