Name *
Phone No. *
Email *
Retailer * NTUC FairPriceCold StorageMarket PlaceJason DeliPubs and BarsGastro BarsE-CommsMinimartsCafesRestaurantsOthers
Receipt Number *
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* I acknowledge that I have read and understood the Terms and Conditions and consent to the collection and use of my Personal information (including images) by Pacific Beverages Pte Ltd for the following purposes: i. To provide services related to this campaign, including conducting background check on participant's identity and eligibility to participate and receive a prize.
PDPA * Yes, I would like to receiveNo, I would not like to receive
