* Required

 

Mobile Number*

 

Parent First Name*

 

Parent Last Name*

 

Retailer (1)*

- Select One - Cold Storage Cold Storage Online FairPrice Finest FairPrice Online FairPrice Supermarket FairPrice Xtra Giant Giant Online Guardian Guardian Online Marketplace Prime Supermarket Sheng Siong Sheng Siong Online U-stars Supermarket

 

Receipt Number (1)*

 

Amount Spent on Friso products*

Please indicate amount spent on the receipt provided

 

Products*

- Select One - Friso Gold 2FL Stage 3 900g Friso Gold 2FL Stage 3 1.8kg Friso Gold 2FL Stage 4 900g Friso Gold 2FL Stage 4 1.8kg Friso Gold Comfort Next 400g Friso Gold Comfort Next 800g Friso Rice Cereal Friso Wheat Cereal Friso Banana Cereal Friso Mum Gold 900g

 

Receipt Image (1)*

 

Total Amount Purchased

 

Total Sets Eligible to Redeem

 

I confirm that the information submitted is true and accurate. In the event the information submitted is found to be fraudulent, erroneous and/or incomplete in any way, I acknowledge that my participation in the Promotion may be rejected or deemed void at the Company’s sole discretion.*

 

I acknowledge that I have read and understood the Terms & Conditions and the Privacy Policy, and consent to the collection, use and disclosure of my personal data by Frieslandcampina Singapore Pte. Ltd. for the purposes set out therein.*

 

Further to the Privacy Policy, and notwithstanding any existing registration with the DNC Registry, I would like to receive information about the goods and services which may be provided by Frieslandcampina Singapore Pte. Ltd. and their partner outlets, including (but not limited to) offers, promotions, sales and marketing communications, and information about new goods and services, via newsletters, emails and/or text messages.