You can always press Enter⏎ to continue
Purchase Form
Post Pregnancy Care First Trial Promo
START
1
Add to Cart
- Consultation- Individualised Exercise- HIEMT- WINBACK TECAR Therapy
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
SGD
Post Pregnancy Care First Trial Promo (90mins)
(U.P $280)
$
199.00
SGD
+
Edit
Back
1
1
1
Quantity
Previous
Next
Submit
Press
Enter
2
PAYNOW DETAILS
Screenshot the paynow QR Code below or make the payment through the UEN that is provided UEN : 202029424Z READY FIT PHYSIOTHERAPY PTE LTD Please ensure payment is successful, and do remember to screenshot the successful transaction for prove of payment.
Previous
Next
Submit
Press
Enter
3
Full Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
4
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
5
Upload Photo:
*
This field is required.
It must be a successful payment.
Drag and drop files here
Select files to upload
Max. file size
: 0.9TB
Upload a File
Cancel
of
Previous
Next
Submit
Press
Enter
6
Additional Details :
Previous
Next
Submit
Press
Enter
7
Agreement:
*
This field is required.
Terms & Conditions : - Valid for one time use/redeem - Not valid in conjunction with any other promotions and discounts - The promo is non-refundable and cannot be exchanged for cash in part or full and is valid for a single transaction only - During the redemption of promo, if the value of the promo exceeds the amount stated in the promo, the difference thereof should be paid by the bearer. - Ready Fit Physiotherapy reserves the right to vary/amend the privilege or terms & conditions without prior notice. - Ready Fit Physiotherapy retains the right to reject any promo that has been tampered with or found in any way unacceptable.
I agreed to the terms and conditions
Previous
Next
Submit
Press
Enter
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform
Question Label
1
of
7
See All
Go Back
Submit