To request a VIP card, simply complete the form below, make sure you fill *)

*Title
*First Name
*Last Name
*Street Address
*Suburb
*State
*Postcode
*Email address
*Confirm Email address
Mobile
*Gender	Male Female
*Date of birth

* Which Le Desire store(s) do you usually shop at?

Chadstone	Southgate	SHOWVIC
SHOWNSW	SHOWQLD	SHOWWA
SHOWSA	SHOWTAS

Le Desire does not disclose any information it collects for use by a third party. Le Desire may use your information to keep you informed about special promotions, events, product launches and other special offers and discounts, relevant to the program and its members through various communication channels unless otherwise advised. Le Desire may also use your information for planning, research, marketing and product and service development.

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