Same as the Woolies one, the title pretty much says it all.
Pick your deal when you set it up and check the back near the barcode if you want to pick your number.
Page 21 if anyone is looking for it.
Edit: As cocktail said you can also buy this from BigW as of the 8th until the 21st.
Hmm, does Coles require the consumer to fill out that form?
"Do you have more than 5 prepaid services?"