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Enter your details below to receive your personalised Skin Analysis along with your R500 Gift Voucher!What is your activation code from your Capitec Wallet?* How happy are you with the condition of your skin?*Select from the dropdownVery UnhappyUnhappyFairly HappyHappyVery HappyWhich skincare products are you currently using?* What is your Date of Birth?* YYYY slash MM slash DD Do you prefer a foamy Face Wash or nourishing Cleansing Milk?*Select your preference from the dropdownpH-Balanced Face WashNourishing Cleansing MilkIs your skin dry, oily, normal or combination?*Select your skin type from the dropdownDryOilyNormalCombinationIs your t-panel oily?* Yes No Are your cheeks dry or normal?* Dry Normal Do you struggle with pimples?*Select from the dropdownYesNoHow often in a month do you get pimples?*Select from the dropdownOnce a monthTwice a monthThree times or more a monthEvery dayDo you have any scarring or pigmentation on your face?*Select from the dropdownYesNoWhich lipstick colour is your preferred choice?*Select from the dropdown1 - Coral2 - Nude3 - Plum4 - Maroon Complete your contact details for us to send your Report and Voucher:Your Name:* Mrs.Ms.MissDr.Prof.Rev. Title First Name Surname Your Mobile Number:*Your Email Address:* Please ensure you enter your mobile number and email address correctly, as you will receive your personalised Skin Analysis Report with your R500 voucher via SMS and email.Upload the photo you would like on the front cover of your Personalised Skin Analysis:Accepted file types: jpg, jpeg, png, gif.This is optional Please note: Only one voucher per person. By clicking "Activate My Voucher" you consent to sharing your information with Isabella Garcia in order for them to send you your voucher and to follow up on your experience. Δ
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