CUSTOMER CARE
We are always interested to hear from our customers. If you have any questions or feedback about our products, please get in touch with us via the form below. We will answer as soon as we can, but please be advised that our response may be delayed by weekends and public holidays.

Email address *
Reasons for contacting us:*
First Name:*
Your answer
Last Name:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Home Address:
Your answer
Contact Number (Eg. +62 82145249999):
Your answer
Which country did you buy this from?*
Your Message For Us:*
Your answer
By submitting this form, I agree to Delfi’s Privacy Policy.
"By submitting your [information/personal data] I hereby consent to the Company collecting, holding, using and processing information about me for legal, personal, administrative and/or management purposes and in particular to the processing of any personal data including, as appropriate:

(a) information about my physical or mental health or condition in order to monitor and take decisions as to sales and/or marketing; (b) my racial or ethnic origin and religious or similar beliefs in order to monitor compliance with legislation; and/or, (c) any other information as appropriate to comply with legal requirements and obligations to third parties.
For the purposes of the paragraphs above, I consent to the Company making such information available to any of its group companies, those who provide products or services to the Company (such as advisers, insurers and payroll administrators), regulatory authorities and/or governmental or quasi-governmental organisations."
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Delfi Limited (formerly Petra Foods Limited). Report Abuse - Terms of Service - Additional Terms