Free Trial Form
The 2 weeks Free Trial of Rejuv-A-Wafers is worth $13 and valid for first-time users only. To redeem, you may collect personally from our office at 60 Kaki Bukit Place, #08-16 Eunos Techpark (Lobby A), Singapore 415979 or email us at enquiry@sunchlorella.net with your name, address and contact number. Alternatively, you may call us at Tel: 6344 4966.


Notice: This is only entitle for Singapore resident.

Personal Information:

* mandatory fields:

* Salutation:

 

* Your Name:

 

* ID/ Passport No:

 

* DOB :(MM/DD/YYYY)

/ /

 

* Email:

 

* Address:

 

 

* City:

 

* Country:

 

* Zip or Postal Code:

 

* Contact No:

 

Pet Information: ( please complete all the require fields in this section for the FREE TRIAL. )

How many pets do you have?

 

 

Click all that is applicable...

Cat Dog Bird

Hamster Horse Fish

 

 

 

What is the breed of your pet?

 

 

Age of your pets / pet

 

How did you hear about Pet Sun Chlorella?

Club Pet Magazine Pet Magazine

Website Pet Shop Other

 

 

Do you feed the health food supplement to your pet before?

Yes No

 

 

If Yes, Please specify details, 

 

 

 

 

 

*** If more than 1 Pet Trial Package is required, we reserve the right to ask for proof of pet existance.

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