Online Submission

To participate, please fill up the form below with your details.

* Required

 

Name *

 

Mobile Number *

 

Receipt Number *

 

Gender *

- Select One - Female Male

 

Retailer *

- Select One - 7 Eleven Cheers Fairprice Sheng Siong Giant Cold Storage Prime OTHERS

 

Age *

 

Are you purchasing this for yourself or for sharing *

For self-consumption

For sharing with friends

For sharing with family

Others

 

Reason for choosing this Haribo variant vs other items? *

- Select One - I like the flavour I like the texture I like the gummy design I like the size of the gummy pieces I like the uniqueness of the product Stocking up on my favourite Haribo product Trying new Haribo variants Others

 

Is this your first time purchasing a HARIBO product? *

- Select One - Yes No

 

Email *

 

Receipt Image *

 

For more enquiries, please contact support.contest@smsdome.com

 

I have read and agree to the Terms & Conditions and to be contacted pertaining to pertaining to the HARIBO Zourr Campaign.