Online VIP Registration Form


Important Note: To qualify for the L’Occitane VIP Programme, customers must accumulate Php 10,000 worth of transactions within 6 consecutive months. Otherwise, purchase accumulation will automatically reset. Visit this link to know more about the benefits of the program.

Official Receipt Number (For online purchases from, kindly indicate your Order No/s as seen on your confirmation email) *
Employee Referral Code (Not required for purchases made on
Last Name *
First Name *
Middle Name
Birth Date *

Civil Status

Mailing Address
Zip Code
Mobile Number *
Email *
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