Club Card Application
Step1.
Please fill in and submit the application form below.
Step2.
You will receive a confirmation email from us.
Step3.
Please visit one of our stores with your ID and the confirmation email to pick up your club card.
*Please note that your club card must be collected at the store you chose on the application form.
 * are necessary.

Personal Details

First Name *
Middle Name
Last Name *
Date of Birty *
Day
Month
Year
Sex * Male    Female

Contact Details

Phone(Home)
Mobile
* At least one of Phone(Home) and Mobile are required.
Email *

We will send you some emails about a variety of topics such as new products and special sales and so on.

Address

Postcode *
Street No. *
Suburb *
City *

Where would you like to receive your card?

Note: You cannot change a retail store to receive your Japan Mart Club Card later once you register the store here.
Shop *





Terms & Conditions

I have read and understood the Terms and Conditions. (日本語版はコチラ)
Contact       clubcard@japanmart.co.nz