Fuzzie's Cheer Up Singapore Giveaway For Healthcare Workers (Part 2)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome!

Submit this form to register for your chance to win a FREE 1 Year Access to the Fuzzie Corporate Club worth $144.

PRIZES
-1 year membership x 10,000 lucky winners
-3 month membership for all participants
-Wildcard prizes will be given out randomly

HOW IT WORKS
-30 daily winners for the main prize will be selected each day.
-A final draw will be done after the campaign for everyone else.
-Fuzzie will randomly select the winners and notify them by email/Instagram.

Good luck!

Learn more about Fuzzie, visit www.fuzzie.com.sg
Need help? Hit us up at support@fuzzie.com.sg

Win a 1 Year Membership to the Exclusive Fuzzie Corporate Club worth $144!

First name *

Last name *

Your personal email address *

Confirm personal email address *

IMPORTANT: Please ensure you enter your email correctly without typos and spacing or we won't be able to contact you.

Select your age group *

18 - 24

25 - 30

31 - 35

36 - 40

41 - 50

51 - 60

Other:

Select your gender *

Male

Female

Other:

Your job title *

Doctor

Nurse

Admin

Allied Staff

Other:

Please indicate the name of your healthcare institution *

Healthcare declaration *

I declare that I am employed/contracted with the above healthcare institution.

Required

Declaration that you are not yet a Fuzzie Club member *

This giveaway is only for first time members.

I am not yet a Fuzzie Club member.

Required

Acknowledgement that duplicate submissions will lead to disqualification *

I understand that only one submission is allowed and multiple entries by me will lead to my disqualification.

Required

Consent *

I agree to provide the above information to Fuzzie Pte Ltd for the sole purpose of receiving the Fuzzie Club prize.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Fuzzie Pte Ltd. Report Abuse

Forms