Counter Service Registration Form
Thank you very much for your interest in Kanebo Cosmetics. We currently provide many services to meet all your beauty needs.Please let us know which service you are interested in, and our Beauty Counselor will contact you shortly to make an appointment. Terms and condition applies.
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Name *
Please provide full name
Identification No.(I.C. No.)
e.g. 701112145389
Contact No. *
e.g. 012-3126779
Email address
Preferred Services *
You may select more than one service
Required
Preferred Counter *
Please select from the dropdown list
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