Contest Form - Vera Malaysia

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Buy & WIN – All Women Concert & Nights of Fright 12 Tickets

1 Oct – 1 Nov 2026Buy any Vera's products with min spend RM70 to redeem

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Contest Form | Buy & WIN - All Women Concert & Nights of Fright 12 Tickets

Full Name (as per IC) / Nama Penuh (seperti di IC)

Phone Number / Telefon Bimbit

Date of Birth / Tarikh Lahir

Email Address / E-mel

Gender / Jantina

Race / Bangsa

Address / Alamat

Address Line 2 / Baris Alamat 2

City / Bandar

State / Negeri

Postal Code / Poskod

Country / Negara

Place of Purchase / Kedai Pembelian

Purchase Amount (RM) / Jumlah Pembelian (RM)

Others: Please Specify

Receipt Number / Nombor Resit

Upload Receipt / Muat Naik Resit

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Please read the contest Terms & Conditions.

I have read and understand the information concerning personal data.