— Full Name / Nama penuh (As per IC) —

Mohd Rafiuddin Bin Johari

— Mobile Phone no. / No. Telefon —

+60183244385

— Product purchased / Produk yang dibeli —

Hydrosoft Monthly Clear Lens

— Provide evidence of purchase / Kemukakan bukti pembelian. (Please refer to the sample photo provided above / Sila rujuk kepada contoh foto di atas.) —

https://maxvuevision.com/wp-content/uploads/wpforms/3778-af39c16077fb6c2fb001eb80c0505100/image-e5f54f4a8462f3b730701e0903a0ebe1.jpg