1. 身份證上之姓名 Full name on ID card
2. 聯絡電話 Contact no.
3. 電郵 Email
4. 商戶名稱 Name of merchant
5. 購買日期 Date of purchase
6. 購買總額 Purchase amount
7. 上傳收據 Upload receipt
I have read, understood and agreed to be bound by the Terms and Conditions.
Contact Information