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*Card Number

*Password

*Retype Password

Name

Gender

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*Birthdate

*Mobile

Landline

Unit/House No.

Building Name

*Street

Subdivision/Barangay

City

Occupation

Children

Do you or your family own a car

Do you use any of the following services? Check all that applies.

	Delivery
	Drive Thru
	Bulk Order
	Party

Where do you want to use your card aside from JFC stores? Check all that applies.

	Supermarket
	Convenience Store
	Transportation
	Airlines
	Cinemas
	Specialty Shops
	Telecommunications
	Pharmacy

How do you like to be contacted:

How many times do you want to receive promo updates?

I hereby certify that the above information is true and correct, and complies with the Terms and Conditions that govern the ownership and usage of the happyplüs card (the Card Terms and Conditions). In compliance with Republic Act Number 10173 or The Data Privacy Act of 2012, I also authorize and give consent to the collection and processing by Jollibee Foods Corporation and its affiliated entities of my personal information and sensitive personal information in accordance with the Card Terms and Conditions.

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