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】
由即日起至5月31日,會員於指定尚健維佳門市#以迎新現金券購買美德牌產品,即場獲贈加拿大Kushies嬰兒小方巾(6條裝)及medela趣緻立體相架1個,送完即止。
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.:(*)
身份証號碼(首4位)(e.g.A123):(*)
ID Card No. (First 4 alphanumeric digit)
XXX(X)
電郵 Email:(*)
預產期/嬰兒出生日期:(*)
Expected Date of Delivery/Baby's Birthday
日 /月/
嬰兒姓別:(*)
Baby Gender:
醫院:(*)
Hospital:
香港通訊地址 H.K. Address :



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I agree / object to the proposed use of his/her personal data in direct marketing.
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