Customer Reward Card Application

Customer Rewards Card Application. The Book Centre and Barker & Jones.

Please fill in the form below.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How did you hear about our Customer Reward Card?
Thank you for applying for a Customer Rewards Card. Your card will be sent out to your postal address. See you in store soon!
Please tick box for yes!*

Please Email me once a month with news of events, and special offers in storeI agree to the terms and conditions
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Customer Rewards Card Application. The Book Centre and Barker & Jones.