Welcome To Lawrence Jordan Flowers

OUR PRODUCTS

As a valued customer, we would like to offer you the opportunity to join our Loyalty Program.

Join now and never miss another birthday, anniversary or other special occasions with our free courtesy call service.
To register, please fill out the form below...

Customer Loyalty Program

Client Details

March 14, 2010

First Name:

Surname:

Phone Details

Home:

Mobile:

Work:

Email:

As part of our Loyalty Program we offer our customers the opportunity to nominate a loved one/s to be entered into our data base to be reminded of special occasions such as a birthday or anniversary.

Once you are part of our program, you will receive a courtesy call 1-2 weeks prior to the occasion and if you decide to order, you will receive 20% off the price of your flowers.

Would you like to nominate any loved one's for inclusion in our 'special occasions' database?
Yes . No

Name:	Date:	Type of Occasion:
1.
2.
3.
4.

Would you like to receive more information about Lawrence Jordan Flowers? Yes . No

Which areas in specific? Weddings . Christmas Hampers . Corporate Services

Corporate Services

Company Details

Company Name:

Location:

Does your company have special events that require floral arrangements? Yes . No
If yes, what type of occasion?

Does your company currently have regular corporate arrangements? Yes . No
If yes, are you happy with this service? Yes . No

Would you like more information regarding our new range of Christmas Hampers for 2007?
Yes . No

Who is the best person to contact about Lawrence Jordan Flower's Corporate Services?

Name:

Position:

Phone:

Fax:

Email:

Privacy Clause Privacy & Use of Your Personal Information
Completion of the above document constitutes applicants' consent to their personal information (collected on this form) to be used by Lawrence Jordan Flowers for compiling its customers database and for marketing purposes. The promotional offers are developed in line with your needs, but should you not wish to receive this information, please contact us on 9687 3533.
Upon completion of the above document, or otherwise give us personal information, Lawrence Jordan Flowers will not share that information with any other party without your permission.