Loyalty Program – Your Look Logos

Please enable JavaScript in your browser to complete this form.

Date:

Primary Contact Name:

Title:

Business Name:

Shipping Address:

City:

State:

Zip Code:

Code: Name: City:

Email

Phone Number:

Secondary Account User's Name:

Title:

Shipping Address:

City:

State:

Zip Code:

Email

Phone Number:

Fee:

The annual membership fee is $100, and it will be billed automatically on your enrollment anniversary. Cancellation requests must be submitted in writing 30 days prior to renewal date. I authorize Your Look Logos to charge my credit card annually for the membership fee.

Signature:

This program allows a maximum of two (2) members, with up to two (2) separate shipping destinations. By signing this Agreement you acknowledge that you have read and agree to abide by the Your Look Loyalty Program Terms and Conditions. Your credit card will be billed annually on the date of enrollment for this membership program.

Date: