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Premium Business
Name:
Day Month Year
Birthday:
No. Street Subdivision/Barangay City/Municipality/Province
Home Address:
Occupation:
If Business Application
Citizenship:
Business Name:
Filipino
Others, please specify country
Business Type: Code:
Business Address:
How should we communicate with you?
Email Mail
Phone No.:
Mobile Home Phone
Business Email:
Name:
Day Month Year
Birthday:
No. Street Subdivision/Barangay City/Municipality/Province
Home Address:
I certify that all the info above are true and correct.
2. Membership Cards and Fees: The membership fee is covered for one Name:
(1) year from the date of application of the Primary cardholder. The Day Month Year
membership card will expire on the anniversary date of the Primary
Birthday:
cardholder, as well as its Extension. The card is valid at any Landers
Superstore. For security purposes, you will be requested to show your
No. Street Subdivision/Barangay City/Municipality/Province
membership card upon entering Landers Superstores. You will likewise
be requested to show your membership card when paying at the Home Address:
register. Lost or stolen membership cards should be reported
immediately to the Landers Superstore Membership Department. A Mobile No.: Landline: Email:
P100 fee will be charged for the replacement of each card. Membership
may be terminated at the discretion of Landers Superstore. All member-
Occupation: Citizenship: Filipino
ship cards are non-transferable, remain as property of Landers
Superstore and must be surrendered upon request. Others, please specify country
6. Return or Refund: The Landers Superstore member, his extension, No. Street Subdivision/Barangay City/Municipality/Province
and Landers Superstore agree that return or refund is subject to the
following rules: Home Address:
. Replacement or exchange will be done in the Landers Superstore Mobile No.: Landline: Email:
. manufacturers warranty.
Replacement or exchange of perishable items is only valid within 24
Remarks: