Singapore
* Membership is restricted to individual residing in Singapore only.
* FreshKon® reserves the right not to grant membership to people residing outside of Singapore.
* A valid mailing address and contact no. must be provided, P.O. Box address will not be accepted.
* FreshKon® reserves the right to reject any incomplete application and any application it deems unsuitable/inappropriate.
* FreshKon® reserves the right to amend the Terms & Conditions and/or registration offer without prior notice
 
FreshKon® Club Members Registration
  As a FreshKon® Club member, you will be kept informed about our latest promotions and exciting offers as well as informative eye-care and eye-health tips, through our e-newsletter.
 
Membership Benefits & Privileges
* First hand information on up-coming promotions
* Special offers
* Opportunities to be invited to FreshKon® events / product launches
* Membership is FREE!

Please ensure that you fill in the compulsory fields (*) in this form.
 
Last Name*:
Gender*: Male Female
Age*:
Birthday*: Day Month Year
Email*:
Address 1*:
Address 2:
Country*:
Postal Code*:
Contact No*: Home
  Office
  Mobile
Occupation*:

1) Are you currently a contact lens wearer?
Yes (Go to Qn 1a) No (Go to Qn 7)
1a) If yes, are you a : (you can select more than one answer)
Clear lens wearer (complete Q2)
Color lens wearer (complete Qn3)
'Big eye' concept (black/brown) lens wearer (complete Qn4)
All of the above (complete Q2 to Qn4)
2) Which clear lens are you using?
Daily lens (Go to Qn 2a) Bi-weekly lens
Monthly lens (Go to Qn 2b) Conventional (permanent) soft lens
GP (Gas Permeable) lens Others. Please specify :
2a) Which daily lens are you using?
Acuvue 1 Day Acuvue 1 Day Moist Focus Dailies Softlens Daily
Biomedics 1 Day Others. Please specify:
2b) Which monthly lens are you using?
Acuvue Clear Biomedics 38/55 Softlens 38/Comfort
Focus Visitint Others. Please specify:
3) Which color lens brand are you using?
FreshKon® FreshLook Others. Please specify:
4) Which 'Big eye' concept (black/brown) lens are you using?
FreshKon® Alluring Eyes Acuvue Define
Others. Please specify:
5) If you are a FreshKon® brand user, what product/s are you currently using?
(You may select more than one answer)
Colors Fusion Solitude Alluring Eyes Monthly Clear
Monthly Toric Daily Clear    
6) How long have you been a contact lens wearer?
7) Are you interested in trying contact lens?
Yes (Go to Qn 7a) No
7a) Which of the following lens are you interested in:
(You may select more than one answer)
Clear lens Color lens 'Big eye' concept lens (black/brown)
All of the above


I have read and agreed to the above Terms & Conditions.