Medela Fans Club Application Form 『美德牌』會員申請表, (*) 符號必須填寫

1. 每位香港身份証持有人只限登記一次
     Every HKID Card Holder can only register once

2. 禮品換領券及現金券將傳送到你所登記的電郵地址
     Welcome gift redemption coupon and cash coupon will be sent to your registered email address

【母親節會員限定優惠 Mother’s Day Privilege for Members】
From now to May 31, members can get an extra gift of Kushies Wash Cloth (6pcs pack) and a medela 3D photo frame by purchasing Medela products with the welcome cash coupon at selected CVEC shops#. Limited offer while stock lasts.
# 尚健維佳銅鑼灣、中環及尖沙咀門市
CVEC Shop in Causeway Bay, Central, and Tsim Sha Tsui
姓名 Name:(*)
出生日期 Date of Birth:
月 /
香港聯絡電話 H.K. Contact No.:(*)
ID Card No. (First 4 alphanumeric digit)
電郵 Email:(*)
Expected Date of Delivery/Baby's Birthday
日 /月/
Baby Gender:
香港通訊地址 H.K. Address :

本人同意 / 反對 使用個人資料於擬作出的推廣。閱讀詳情 View detail
I agree / object to the proposed use of his/her personal data in direct marketing.
遞交 Submit