Loyalty Card Application

Order / Receipt No.
Date of Purchase
Name
Name on Loyalty Card
CNIC#
Date of Brith
Cell #
Tel (Res)
Tel (Off)
Email address
Mailing Address
City
Waist Size
Collar Size
Preferred / Most Visited Outlet
Company

Profession (Please select one)

How would you like to be informed about promotions and other updates?