Loyalty card application form  Ex Shop named "loyaltycard" replace the "loyaltycard" and use your shop name
Getting a Smart Loyalty Card is easy and it is FREE! Simply fill in the loyalty card application form below. You will receive your own loyalty card and become a member of our loyalty program and you will start to collect points, freebies, special offers and gifts each time you shop at our "loyaltycard" shops. Turn your everyday shopping into more points and more freebies you get. Fields marked * are required. Name Mr / Mrs / Miss ____________________________________ Address ____________________________________ ____________________________________ ____________________________________ ____________________________________ City ____________________________________ Pin code ________________ Home Telephone Number ________ _________________ Office Telephone Number ________ _________________ Mobile Number ___________________ Email Address ____________________@________________ Date of Birth __ /__ /____ (dd/mm/yyyy) Number of Family Members _________ Monthly Shopping Budget for family Rs. _________ Monthly Saving Budget Rs. _________ From time to time "loyaltycard" Shop will use the information that you have provided in this form to direct special offers on products or services to your attention that are hoped to be of interest to you. Do you agree to allow "loyaltycard" shop and other carefully selected companies and organizations to disclose such information? I Agree I Disagree I have read and understood the conditions of the Loyalty Card and the application is correct to the best of my knowledge. Signature Date Loyalty card application form in MSWord format.
|
