Support and Register

If you are a business owner and would like to take up Nick’s Challenge and offer a discount to Pensioners please fill out the form below.

Your form will be processed by a volunteer and listed on the site. Please allow up to 20 working hours.

You may be contacted in order to validate your submition so please fill out as much as possible on the form below

  1. Contact info for office use
  2. (required)
  3. (required)
  4. (valid email required)
  5. (required)
  6. Contact info for public viewing
  7. (required)
  8. (required)
  9. (required)
  10. (required)
  11. (required)
  12. Discount Details
  13. (required)
  14. (required)
  15. (required)
  16. (required)
 

cforms contact form by delicious:days


    • National Challengers

    • Why offer a discount to Pensioners?

    • "Because I can and I am at last able to give something back no matter how small, if everyone starts doing this it may have some impact and help pensioners lives become easier to live."
      A0 printer Repairs Perth

      "We appreciate this great country we live in and know who to thank for it, and as a result of the awareness instigated by Nick Duggan."
      L J Hooker Maroochydore