OHMS GOLD FREEBIES REDEMPTION
Dear Gold members; kindly fill up the form to redeem your free gift! Please take note gifts will be ready for pick up in 5-7 working days. Please take note the following:
1. Freebies are of a first come first serve basis.
2. Choice of colour can be requested but depends on availability.
Name (As per IC) *
Date Of Birth (D.O.B) *
MM
/
DD
/
YYYY
Contact No. *
Email Address
Pick up at PHM
Pick up at Pharmacy **PLEASE STATE PHARMACY NAME AND LOCATION
Select choice of freebie *
Upload proof of purchase (receipt) *
Required
Submit
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