Part 1: Basic information
Part 2: Where should we deliver your sample?
Part 3: Tell us about your child

(For children ages 1-6 years old)

Part 4: Submit

Dutch Lady Milk Industries Berhad ("Dutch Lady") collects personal identifiable information to provide services or to correspond with you. This information is stored in a manner appropriate to the nature of the data by Dutch Lady and is used to fulfil your request. By submitting your personal information, we deem that permission is given to Dutch Lady and/or its authorised agents to use this information for the purpose of present and future marketing and promotional purposes and to improve its products and services. If you inform Dutch Lady via our careline at 1-800-88-1191 or at that the above information should not be used as a basis for further contact, Dutch Lady will respect your request. Your information will not be provided or shared with other company or partners for their independent use.

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