Cavalor support application form – Off The Track Tasmania

Application for Cavalor support

First name: *

Surname: *

Email *

Address: *

Suburb: *

State: *

Postcode: *

Phone: *

Horse details

Horse breed: *

Race name: *

Pet name: *

Age: *

Sex: *

Colour: *

Microchip or brand reference (if applicable)

Date you became the owner/lessee: *

Privacy Statement

By completing this application you are providing Tasracing Pty Ltd (ACN 137 188 286) (Tasracing) with your personal information. The personal information in this application is obtained to provide to Cavalor Tasmania to contact you for a consultation and enable you to receive a Cavalor support package if you meet the eligibility criteria. If you want to find out information about Tasracing’s personal information handling practices, you should contact marketing@tasracing.com.au or view Tasracing’s Privacy Policy available here.

*

I hereby declare that the above information is correct and acknowledge that I understand that a Cavalor Tasmanian Representative can contact me directly in order to provide samples and discuss ongoing product use, and notification of relevant discounts and promotions.