MIWAKO / MIWAKO A+ Sample Request Form

Fill in the details below to redeem a FREE MIWAKO or MIWAKO A+ sample.

Child's Information

Child's Full Name

Child's Date Of Birth (Above 1 year old)

Select Your Sample
---MIWAKO A+ (For Children 1 - 6 Years Old)MIWAKO (Whole Family Choice)

Which brand is your child currently consuming?
---Anmum EssentialBaby BioBellamy's OrganicDumex Dugro/Dumex MamilDutch LadyEnfagrowFriso GoldGain KidIsomilLactogenMIWAKOMIWAKO A+MorinagaNanNovalacPediasureS-26SustagenDo not consume milk powderOthers

How did you hear about us?
---Social media (Facebook, Instagram, Youtube, etc..)Search engine (Google, Bing, Yahoo, etc..)Healthcare Professionals (Doctors, Pharmacist, Nutritionist, Occupational Therapist, etc..)School / TeachersFamily Members / Friend / ColleagueMIWAKO Authorized Seller / Stores / Lazada / ShopeeInformative website (Goody25, TheAsianParents, MyPositiveParenting etc..)NewsletterOthers

Basic Information & Shipping Address

Full Name

Your Date Of Birth

Gender
---FemaleMale

Race
---MalayChineseIndianOthers

Email

Phone Number (Contactable via WhatsApp)

Address

Postal Code

City

State / Federal Territories
---JohorMelakaNegeri SembilanSelangorKuala LumpurPutrajayaPerakPenangKedahPerlisKelatanPahangTerengganuSabahSarawakLabuan

Term & Conditions
1. Open to parents with children aged 1 to 12 years who are residing in Malaysia only.
2. MIWAKO® / MIWAKO A+ Trial Pack only be available on a first-come first serve basis while stocks last.
3. Two [2] packs of MIWAKO® / MIWAKO A+ 30g samples will be sent to the registered mailing address.
4. MIWAKO® / MIWAKO A+ sample redemption is limited to ONE unit per household (address) only
5. MIWAKO® / MIWAKO A+ sample will be delivered to your doorstep within 7 to 21 working days after confirming the shipping details by WhatsApp Message/Email.
6. Dale & Cecil reserves the right to disqualify any participant who does not comply with any of these Terms & Conditions or who does not provide complete/accurate details.
7. All samples are awarded "as is" and are strictly not for sale, non-transferable, non-exchangeable, and may not be encased.
8. Dale & Cecil reserves the right to vary, extend, suspend or terminate this free sample.

By submitting your information, you agree to the Terms & Conditions and the processing of your personal information. You will receive future marketing and promotional information about Dale & Cecil's products, services, and events through Email, WhatsApp, or Phone Call. You may unsubscribe at any time.

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