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Cancel Mattress Free Trial Form
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2024-05-21T16:04:22+08:00
Service Type
*
Customer Feedback / Product Related
Please ensure Membership/Agreement No tally with correct Customer Name to process the Online form. Inaccurate details will be disregard.
Product Type
*
Mattress
Type of Enquiries
*
Free Trial Cancel
Type of Enquiries
*
MBG Refund
Mattress Qty
*
Please Select
1
Seat Pad Qty
*
Please Select
1
Membership Number
*
Hidden
SIN No
Hidden
Product
Customer Full Name
*
Customer Contact (HP)
*
Customer Email
*
Area (City)
*
Reason of cancellation
*
*(Please don't insert symbol)
Partner Code (if any)
*
entryno
Declaration
*
I shall be liable to pay HEALTHIE DIAMOND for missing/damage parts (if any) stated herein.
I hereby return the product within the agreed Free trial period as agreed during my purchase.
I agree that HEALTHIE DIAMOND only proceed with any refund upon officially receiving the returned product in good condition with completed set.
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