Name
*
First Name
Surname
Age Group:
*
20 years old & below
21 - 25 years old
26 - 30 years old
31 - 35 years old
36 - 40 years old
41 - 45 years old
46 - 50 years old
51 - 55 years old
56 & above
I am
*
Existing Customer
New to ClearSK
Gender:
*
Female
Male
Mobile Phone Number
*
For Singapore number, do not include country code (65)
Email Address
*
I would like to
*
join the Christmas Party on 1 Dec 2pm
find out more about the party
Do you have any concerns you wish to address?
*
Yes
No
What are your concerns
*
Pigmentation
Acne
Acne Scars
Wrinkles / Sagging Skin
Body Shape
Hair Loss
I would like to purchase event ticket for
*
1 pax @ $30
2 pax @ $36
3 pax @ $54
Indicate Friend's name & mobile number (for verification during registration)
I would like to make payment for the Entry Ticket via:
*
Credit / Debit Card via Paypal
PayNow to mobile number 96257677
For Credit/Debit Card via Paypal, Purchase Ticket by selecting here
*
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( X )
Event Entry Ticket for 1 pax
$
30.00
SGD
Event Entry Ticket for 2 pax
$
36.00
SGD
Event Entry Ticket for 3 pax
$
54.00
SGD
Enter coupon
Apply
Total
$
0.00
SGD
For payment via PayNow, please save the reference number. Our Customer Service officer will call you to further verify the transaction
*
Yes, I have noted and will proceed to pay via PayNow.
Preferred time for us to contact you via call
*
Weekdays 9am - 1pm
Weekdays 1pm - 6pm
Weekdays 6pm - 8pm
Weekends 9am - 1pm
Weekends 9am - 1pm
Upon submission, you allow ClearSK to contact you via any mode of communications for this particular matter. If you are existing customer, this will not override your existing communication preference in ClearSK database. Should you wish to update your communication mode, please visit https://goo.gl/4uPjLG
*
Yes
Upon submission, you have acknowledged that (1) the amount you have paid will entitle you to ClearSK Christmas Party and a Goodie Bag per person when you show up on event day (2) the amount paid is non-refundable but transferable to another person or exchangeable to services or product if you unable to attend (3) ClearSK may use this event photos and videos which you may be captured in our future marketing collaterals
*
Yes
How did you know about the event?
*
ClearSK email
Whatsapp
Shop Poster / brouchure
By friends
Facebook
Instagram
Submit
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