Online VIP Registration Form | L'Occitane VIP Registration Form

Official Receipt Number (For online purchases from Rustans.com, kindly indicate your Order No/s as seen on your confirmation email) *

Store Referral *

Employee Referral Code (Not required for purchases made on Rustans.com)

Last Name *

First Name *

Middle Name

Birth Date *

Month

Day

Year

Gender

Male
Female

Civil Status

Single
Married
Divorced/ Separated
Widowed

Nationality

Occupation

Mailing Address

Zip Code

City

Mobile Number *

Email *

I would like to receive L’Occitane updates, promotions and event invites via

SMS
Email
Both

Most Loved L’Occitane Products (your favorites!)

Preferred Pickup Location for VIP card and Rewards *

I have read, understood and accept the L’Occitane VIP Terms and Conditions.

Privacy Policy *

By submitting this form, you indicate that you have read and understood the terms, and thus consent to Rustan’s retention, processing, and use of personal and sensitive information you provided and other information in related documents, within the duration necessary for your VIP Card and Rewards application, monitoring, and maintenance, and for promotions and/or membership/product updates pursuant to the requirements of and your rights specified under RA 10173 or the Data Privacy Act of 2012, other applicable laws, as well as Rustan’s Privacy Policy at https://www.rustans.com.ph. The same, as needed, may be shared to and processed by L’Occitane (Principal), Rustan’s Group of Companies, and other service providers, acting on Rustan’s behalf, in relation to the foregoing purposes. Please contact Rustan’s Data Protection Office by e-mail to dpo@rustans.com.ph for data privacy related concerns.