Maxigesic Money Back NZ

Ensure you have everything you need to submit your claim!

It is a minimum of 7 days since you purchased a participating Maxigesic Product from a participating retailer during the promotional period.

The purchase was made between 17/8/20 and 31/3/21

You have a digital copy of your receipt ready as a photo, .jpg, scan or PDF

First name

Last name

Age Group ^#

Mobile number (New Zealand only)

Email address

Confirm email address

Postal address ^†

Can't find your address?

Postal address line 1

Postal address line 2 (optional)

Suburb

Province

Postcode

I am over 18, please see Terms & Conditions

# Optional

† No P.O. Box

Date of purchase ^{^}

Retailer purchase was made at

Product purchased

Purchase price

Upload a copy of your receipt

Upload Receipt

^ Must be a minimum of 7 calendar days following purchase for claim to be accepted

Please nominate the bank details you would like your Maxigesic Money Back claim to be deposited to

Bank account name

Account number

I accept the Terms and Conditions*