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Fields
PERSONAL INFORMATION
Name(이름)
*
First Name
*
Last Name
*
Address(주소*)
*
Address Line 1
Address Line 2
City
State/Province
ZIP / Postal
Email(이메일*)
*
Phone(핸드폰번호*)
*
How many children do you have?(자녀가 몇 명 입니까?)
Currently pregnant with first child
1
2
3
4
PRODUCT DETAILS(제품 상세)
How many car seats/strollers would you like to register?(몇 개의 카시트/유모차를 등록하십니까?)
*
1 car seat/stroller(카시트/유모차 1개)
2 car seats/strollers(카시트/유모차 2개)
3 car seats/strollers(카시트/유모차 3개)
4 car seats/strollers(카시트/유모차 4개)
Car seat/stroller 1(카시트/유모차 1)
*
2way Pearl
AxissFix Plus
CabrioFix
Dana for 2
Laika
Milofix
Opal
Pebble Plus
PriaFix
Rodi AirProtect
RodiFix AirProtect
Titan Pro
Tobi
Product Number(제품번호)
*
Enter product number for car seat/stroller 1(첫번째 등록할 카시트/유모차의 제품 번호를 입력해 주세요)
Car seat/stroller 2(카시트/유모차 2)
*
2way Pearl
AxissFix Plus
CabrioFix
Dana for 2
Laika
Milofix
Opal
Pebble Plus
PriaFix
Rodi AirProtect
RodiFix AirProtect
Titan Pro
Tobi
Product Number(제품번호)
*
Enter product number for car seat/stroller 2(두번째 등록할 유모차의 제품 번호를 입력해 주세요)
Car seat/stroller 3(카시트/유모차 3)
*
2way Pearl
AxissFix Plus
CabrioFix
Dana for 2
Laika
Milofix
Opal
Pebble Plus
PriaFix
Rodi AirProtect
RodiFix AirProtect
Titan Pro
Tobi
Product Number(제품번호)
*
Enter product number for car seat/stroller 3(두번째 등록할 유모차의 제품 번호를 입력해 주세요)
Car seat/stroller 4(카시트/유모차 4)
*
2way Pearl
AxissFix Plus
CabrioFix
Dana for 2
Laika
Milofix
Opal
Pebble Plus
PriaFix
Rodi AirProtect
RodiFix AirProtect
Titan Pro
Tobi
Product Number(제품번호)
*
Enter product number for car seat/stroller 4(두번째 등록할 유모차의 제품 번호를 입력해 주세요)
Car seat/stroller 5(카시트/유모차 5)
*
2way Pearl
AxissFix Plus
CabrioFix
Dana for 2
Laika
Milofix
Opal
Pebble Plus
PriaFix
Rodi AirProtect
RodiFix AirProtect
Titan Pro
Tobi
Product Number(제품번호)
*
Enter product number for car seat/stroller 5(두번째 등록할 유모차의 제품 번호를 입력해 주세요)
Purchased at:(제품번호)
*
Please enter the retail or online store where the product was purchased(세번째 등록할 유모차의 제품 번호를 입력해 주세요)
Purchase date:(구매일 :)
*
https://dorelaustralia.formstack.com/forms/images/2/calendar.png
Month
01
02
03
04
05
06
07
08
09
10
11
12
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
23
24
Upload receipt(구매영수증 첨부)
*
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