Salesforce form

Name *

Appellation *

Phone *

Email *

Invoice Number

Where did you buy a mattress last time? *

Why do you choose our EMMAS products? (Max. 3 choices) *

Others - Please specify

How do you learn about EMMAS Australia products? (You may choose 1 or more answers) *

Others - Please specify

Why did you buy a mattress this time? *

Others - Please specify

Age *

Profession

Marital Status

Average Monthly Income

I do not object to the use of your personal information for direct marketing purposes, such as Special Offers, New Product Launch, Sleep Information, etc.:

I agree the privacy policy of EMMAS (https://emmas.com.hk/pages/privacy)