⭐
Business & Sales
Loyalty Program Enrollment
Sign customers up for your rewards program — contact details, a birthday-month perk, and clear communication preferences.
Use this template9 fields · Free · Customize before publishing
What this form looks like
Preview · not interactiveLoyalty Program Enrollment
Sign customers up for your rewards program — contact details, a birthday-month perk, and clear communication preferences.
Your name*
As you would like it to appear on your member profile.
Mobile number
Your mobile number
Needed if you choose SMS or WhatsApp updates below.
Birthday month
Pick a date📅
Just the month — that is all we need to send your birthday treat.
Your usual store
Select…▾
So your local team can have your rewards ready.
What would you like to hear about?
New arrivals
Sales & member offers
Seasonal collections
In-store events & workshops
How should we reach you?*
Email
SMS
WhatsApp
Communication preferences
Communication preferences
Program rules*
Program rules
Submit