Online VIP Registration Form | L'Occitane VIP Registration Form

Official Receipt Number *

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 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.