S&J Co. MEMBERSHIP NO. * FULL NAME * ID NUMBER * DATE OF BIRTH * GENDER * MaleFemale PHONE NO. * EMAIL * HOME ADDRESS * BRANCH * ---The MinesIOI City MallSunway PyramidMid Valley MallPavilionMont Kiara1 UtamaSetia City MallAeon Bukit TinggiAeon Kinta CityQueensbay MallGurney PlazaPrangin MallSunway Carnival Mall RECEIPT NO. * ATTACHMENT * SLOGAN (COMPLETE THE SLOGAN) * I LOVE S&J Co. ...... I LOVE TO SEE MORE OF THESE PRODUCT AT S&J CO. * I hereby confirm that I am giving the information on my own accord. I understand that the above provided information will be included in the database of SNJCO MANAGEMENT (M) SDN BHD and other events organised/participated by SNJCO and its affiliated companies. I also acknowledge and agree that SNJCO may use the above information for promotion, direct marketing and advertising purposes. I hereby agree to be bound by the contest Terms and Conditions of SNJCO Management (M) Sdn. Bhd (SNJCO) and SNJCO reserves the right to omit, add or amend these Terms and Conditions at any time without any prior notice. In the event that I did not fulfill any of the required criteria, my entry will be deemed as invalid and SNJCO reserves the right to select another Grand Prize winner.