Karihome Sample Request

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Sent from website?
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Please choose the sample sachet you wish to receive* This field is required.
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Please choose additional sample sachetWill require additional child details
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Do you need third additional sample sachet?Will require 3rd additional child details
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You have requested for Growing-up sachet.Our Growing-up sachets are currently out of stock. Please send in your request and we'll notify you as soon as our stock is replenished. Thank you for your understanding.
OK
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How did you find out about us?* This field is required.
Facebook/Instagram
Magazines
Event/Workshop
Email
Word of mouth
Brochure
Forum
Video Ads (Digital or TV)
Promoter
Online ads
Recommendation from medical professional
Other
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Please tell us which Other platform you found Karihome
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Please Tell Us Your Name* This field is required.
First Name
Last Name
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Your age* This field is required.
Below 24
25 - 34
35 - 44
45 - 54
Above 55
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Your NRIC/FIN No.We'll only use this to check for duplicate requests. Nothing else.
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Your Address* This field is required.
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Your Contact Number* This field is required.
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Your Email* This field is required.
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Your child's current brand of milk* This field is required.You can select more than one.
Breast Milk
Karihome
Abbott
Mead Johnson
Dumex / Dugro
Nestle
Friso
Wyeth
Aptamil
Bellamy
Australia’s Own
Nature One Dairy
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Your child's name* This field is required.
First Name
Last Name
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Your child's birth date* This field is required.
Date
Year
Month
Day
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Your 2nd child's name* This field is required.
First Name
Last Name
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Your 2nd child's birth date* This field is required.
Date
Year
Month
Day
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Your 3rd child's name* This field is required.
First Name
Last Name
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Your 3rd child's birth date* This field is required.
Date
Year
Month
Day
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Remarks
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Terms* This field is required.By proceeding, you accept and agree to all future contact from Orient EuroPharma Pte Ltd. (OEP). Please allow 4 weeks for delivery. Only completed entries will be processed, inaccurate or incomplete entries will be void. Limited to one set of samples per household, for first time users, while stocks last. Samples will only be sent to Singapore addresses. Fulfilment of all sample requests are at the discretion of OEP. Applicable to Karihome Growing-Up Milk & Milk Sweeties. Strictly no sampling of Karihome Infant Formula (for babies 0-12 months old). All information provided is used solely by the program and will not be rented, sold or exchanged with outside parties. OEP reserves the right to change these terms and conditions at its discretion without any prior notice. Additional terms and conditions may apply.
I accept
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