"Dear customer, Happy Birthday! Axis Eyewear hopes all your birthday wishes and dreams come true."
– Axis Eyewear Group (M) Sdn Bhd

Please fill out this form to redeem your special gift.

Our Free Gift: Single Vision Multicoated Lens with 1.56 index only.

Full Name (as per IC)*

New NRIC Number*

Contact Number*

Email*

Address*

Date of Birth* -- Day -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

  -- Month -- January February March April May June July August September October November December

  -- Year -- 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

Which outlet to redeem* -- Outlet -- Krubung Jaya Tanjung Minyak Telok Mas Plaza Sungai Udang Jln Besar Alor Gajah Lorong Pandan Muar Parit Jawa MITC Mydin Duyong Bandar Baru Alor Gajah Muar Jln Abdullah Ong Kim Wee Taman Merdeka Muar Jln Pesta Masjid Tanah Dataran Pahlawan Jasin Durian Tunggal Ayer Keroh Merlimau Melaka Baru Mydin Jasin Bukit Gambir Johor Bandar Baru Sungai Udang Muar Bukit Pasir

Free Gift*

**Please read the Terms and Conditions of Axis Eyewear Group (M) Sdn Bhd.

Terms and Conditions

1. Apply for single vision multicoated lens with 1.56 index only.

2. Prescription range: –Sphere Plano to -4.00 and –Cylinder -0.25 to -1.50

3. Present your I/C upon redemption.

4. Validity period – On your birthday or within a month from your birthday.

5. Particulars registered must match your I/C.

6. Limited to one redemption per customer.

7. This redemption is not transferable or exchange for cash.

8. All successful registration will be notified through e-mail.

9. Please print a copy of e-mail notice and present it upon redemption.