Claim Cash Back

Register Products and Claim Rewards

01 Select Category
02 Identification
03 Purchase Data
04 Document
05 Review

Select Category

Claim

Product Registration

Type of Cashback Choose Type of Claim.

Account Holder's Name Account Holder's Name cannot be empty. Name must have at least 3 characters. Note: The account holder's name must match the name of the cashback claim applicant.

Bank You have not selected a Bank.

Account Number Account Number cannot be empty. Account number must be at least 6 digits.

Identity

Name Name cannot be empty. Name must have at least 3 characters.

Phone Number Phone Number cannot be empty. The phone number must consist of at least 10 digits.

E-mail E-mail cannot be empty. Please enter a valid e-mail address

Address Details

Address Address cannot be empty.

Province You have not selected a Province.

City You have not selected a City.

District You have not selected a District.

Sub-District You have not selected a Sub District.

Post Code You have not selected a Postal Code.

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Purchase Data

Please complete the following information to claim cashback for your product purchase:

The purchase of the same unit in one (1) invoice is limited to a maximum of five (5) units.
The total bank transfer/free item received is valid according to the number of units purchased. Example: If you claim 5 units, you will receive a total of 5 promotions from that claim.
The Ciao! MODENA promotion is only valid at registered official dealers/stores.
The claim period is limited to a maximum of 30 days from the purchase date. Claims are no longer valid outside this period.
MODENA reserves the right to reject claims if they do not meet the requirements and to change the rewards at any time

Product

Product Serial Number 1

The serial number has already been registered. Serial Number not found. Please check and enter it correctly. Enter a minimum of 14 and a maximum of 15 characters. Duplikasi

How do I find the QR Code and serial number on my product?

Product QR Code and Serial Number

Check the side of the unit for the Model/Serial Number.

*Sample Illustration

+ Add Product You can only add up to 5 serial number.

Cashback Program Statement

I hereby declare that the purchase of these goods is not intended for resale to anyone else.

I take full responsibility for any claims related to this program if any issues arise that may harm MODENA Indonesia in the future.

I sincerely agree to this statement and affirm that it will be used as intended.

I acknowledge and agree to the program statement detailed above.

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Photo of Invoice*

Please upload your invoice.

Upload your documents here:

Invoice

No file chosen. Only files up to 1MB are allowed. You cannot upload this type of file.

Upload a photo of your invoice in .jpg, .jpeg, or .png format with a maximum file size of 1MB.
Make sure it is clear and not blurry.

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Buyer's Identity

Type of Cashback

Claim

Product Registration

Type of Cashback

Account Holder's Name Note: The account holder's name must match the name of the cashback claim applicant.

Bank

Account Number

Name

Phone Number

E-mail

Address Details

Province

City

District

Sub-District

Post Code

Product

Product Serial Number 1

Product Serial Number 2

Product Serial Number 3

Product Serial Number 4

Product Serial Number 5

Document

Invoice

Recaptcha must be filled

Check Email Verification

Thank you for submitting your CIAO! form. To complete your registration, please verify your email address by following the instructions sent to your inbox.

If you did not receive the email, please check your spam/junk folder or request a new verification email by clicking

here.

Congratulations! Product registration successfully submitted.

Please wait for the verification process, which may take up to 14 working days after receiving the data. Don't forget to regularly check your email. 😊

Technical Error!

We are experiencing technical difficulties and are working hard to fix them. We appreciate your patience as we resolve this issue. Thank you for your understanding.

Need help? Contact us!

Find quick and professional assistance by contacting us for any questions or issues you may have. We're here to help you! Email us at:

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