First Name*
Last Name*
Mobile Phone*
Please fill in mobile number
Email Address*
Main Skin Concern (choose one)
Acne and Blemishes
Loss of Firmness
Pores and Oiliness
Rough and Dehydrated Skin
Wrinkles and Fine Lines
Dull and Uneven Skin Tone
Multiple Signs of Aging
Pigmentation and Dark Spots
Please select an option
You hereby agree and consent to Shiseido Singapore Co., (Pte.) Ltd. ("Shiseido") collecting, using, disclosing, transferring, and processing your personal data, in accordance with Shiseido's
Privacy Policy
and
Terms of service
.
By providing your personal data to us, you agree and consent to;
(a) be included in our databases for our sales and marketing opportunities, including for establishing an account for checkout purposes if applicable; and
(b) Shiseido providing, or continuing to provide, you with the Services described in Section 3 of Shiseido's Privacy Policy.
You specifically agree and consent to the transfer of your personal data to affiliated companies within the Shiseido Group and to third party service providers hired by Shiseido to process such data, both within and outside of Singapore, in accordance with Shiseido's Privacy Policy.
You would also like to receive information on products and campaigns from Shiseido, Shiseido Group and our third party business partners via the following platforms:
EMAIL
TEXT / SMS
DIRECT MAIL
PHONE / CALL
I consent to receiving such information as stated above.
Please tick this box before submission to indicate consent for collection of your information for purposes stated above.
SUBMIT