Full Name / 姓名:
*
Full NRIC name
Contact number / 联络号码 :
*
Refund will be done via PAYNOW to the participant’s mobile number.
Email / 电邮:
*
For acknowledgment and verification purpose.
Purchase Amount / 金额:
For Colgate Sensitive Pro-Relief Toothpaste only.
Product Purchased / 购买产品:
*
Please Select
Colgate Sensitive Pro-Relief (Original) 110g
Colgate Sensitive Pro-Relief (Whitening) 110g
Colgate Sensitive Pro-Relief (Complete Protection) 110g
Colgate Sensitive Pro-Relief (Enamel Repair) 110g
Colgate Sensitive Pro-Relief (Gentle Repair) 110g
Colgate Sensitive Pro-Relief (Extra Strength) 110g
Colgate Sensitive Pro-Relief (Extra Protect) 110g
Participating Colgate Sensitive Pro-Relief Toothpaste.
Purchase from / 参与零售商:
*
Please Select
FairPrice
Sheng Siong
Cold Storage
Giant
Guardian
Watsons
Unity
Redmart
Shopee Colgate Official Store
Lazada Colgate Official Store
Amazon Colgate Official Store
TikTok Colgate Official Store
Participating retailers.
Receipt / 收据号码:
*
Repeated receipt number will not be considered.
Purchase Date / 购买日期:
*
-
Day
-
Month
Year
Valid from 1 Jan to 31 Mar 2025.
Please explain why you are not satisfied with the product / 请解释您对产品不满意的原因:
*
Please Select
Toothpaste unable to relief sensitivity that I experience / 牙膏无法缓解我的敏感症状
Toothpaste’s taste/ texture is not what I expected / 牙膏的味道/质地不符合我的预期
Others (please specify) / 其他 (请列明)
Others (please specify) / 其他 (请列明)
*
Upload Receipt / 上传收据:
*
Upload full image of your receipt here
Drag and drop files here
Choose a file
Kindly provide clear image of the FULL original receipt or tax invoice with all details on purchase outlet, purchase date, receipt number & required product(s) visible. Max 1 file size of 10mb.
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Terms and Conditions / 促销条款:
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