Online VIP Registration Form

Official Receipt Number *

Last Name *

First Name *

Middle Name

Birth Date *

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Day

Year

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Mobile Number *

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

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Most Loved L’Occitane Products (your favorites!)

Preferred Pickup Location for VIP card and Rewards *

I have read and understood the L’Occitane VIP terms and conditions and privileges.

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 the above data and other personal information in related documents, within the duration necessary therefore for product and service communications, record keeping, internal processing, and service enhancements, pursuant to the requirements of, and your rights specified under RA 10173 or Data Privacy Act of 2012, other applicable laws, as well as Rustan's Privacy Policy at http://www.rustans.com.ph. The same, as needed, may be share to and processed by third party affiliates and business partners, acting on Rustan's behalf, in relation to the foregoing. Please contact Rustan's Privacy Office by em-mail to dpo@rustans.com.ph for data privacy related concerns.

CONCERNS

PRODUCT TYPES

Immortelle Overnight Reset Oil-In Serum

PRODUCT TYPES

Cédrat Global Face Gel

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L'Occitane VIP Registration Form