FontActiv diaBest Sample Redemption
Thank you for your interest in FontActiv diaBest Sample Redemption! 

Kindly fill up your details below for the delivery arrangement. 

Kindly expect 5-10 working days in receiving your FontActiv diaBest sample. We thank you for your patience.
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Full Name (e.g. Low Kok Hoo) *
Phone number (e.g. 016-6064717) *
Email (e.g. daniellow@gmail.com)
Address Line 1 (e.g. No 28, Jalan Datuk Sulaiman 7) *
Address Line 2 (e.g. Taman Tun Dr Ismail) *
Postcode (e.g. 60000) *
State *
Are you requesting for yourself or your loved one? *
Is this your (or your loved one's) first time consuming complete nutrition powder for diabetics? *
If no, what brand are you (is your loved one) currently consuming? *
Would you like to receive notifications regarding FontActiv promotional activities via WhatsApp/Email in the future?
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By submitting this form, you agree and consent to your personal data which you provide to FontActiv in this form being collected, processed, and stored in accordance with FontActiv Privacy Policy relating to personal data protection.

For more information on FontActiv Privacy Policy, please visit: https://www.shine.com.my/privacy-policy.html 
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