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Sewing lesson registration

Customer Information
Brother International Singapore Pte. Ltd. is taking precautionary measures for the safety of all customers as the Wuhan coronavirus spreads. We would require all customers making a booking for a sewing class to provide us with their travel information(s). 

The information collected will be used by Brother International Singapore Pte. Ltd. as part of our response to the outbreak of Wuhan Connoavirus only. 

For the purpose of this survey, family members are defined as members stying in the same household. 
1. Have you/your family members just returned from any overseas trip since the start of the year? *This question is required.
2.  If you have answered "Yes" to the previous question, please share with us the travel date, country, and city of where you/your family members have traveled to. 
This question requires a valid date format of MM/DD/YYYY.
Customer Information
Kindly fill up the following information and our sewing trainer will get in touch with you soon to confirm on your class time schedule
Thank you

Notice : Please bring lesson coupon and receipt when attending the sewing lesson
This question requires a valid email address.
Machine Information
This question requires a valid date format of DD/MM/YYYY.
Terms and Conditions:

1. Please note that free lesson is only valid for 90 days from date of purchase.
2. Customer is required to produce the proof of purchase (receipt) and lesson coupon on the first lesson.
3. BROTHER reserved the right to reject customer who failed to produced the receipt and lesson coupon