*Name *Contact Number *Email *Address *Town/city *Postcode *State *Country *Product model selection — Please select —SM-V8000SM-V7000SM-V6000SM-V3000SM-DM1SM-AF8SM-AF7SM-GS1 *Date of purchase *Place of purchase — Please select —ShopeeLazada *Order number *I confirm that I have read and agreed to the Terms and Conditions and Privacy Policy including as to how my personal data may be collected, used and disclosed by Scott Miller Ltd and its related corporations as set out in the Privacy Policy *I have read and agreed to the General Warranty Terms and Conditions I agree to receive marketing, advertising and promotional information, materials and/or documents relating to products, contests, services and/or events from Scott Miller (including its affiliates/ related corporations, or third party organisations with which Scott Miller may collaborate with) in the manner as set out in the Privacy Policy * indicates required field