Lucky Bean Travel Loyalty Card Application
To apply for annual membership please complete all questions.
Full Name of Member - Person who will pay and make bookings.
First Name
Last Name
Country of Residence Identification
Country
ID Number of Passport Number
E-mail
example@example.com
Cellular Number
What's App if different to the above Cell number.
Date of Birth Main Member
Membership Requirement Couple - U$30 annual subs
Membership Requirement Family - 4 persons - U$50 annual subs (i.e 2 adults and 2 children)
If family membership, add full names of adults, children, & ages of children
Membership Requirement Individual person - U$20 annual Subs
My Products
prev
next
( X )
1 Year Individual / Single Membership
$
20.00
1 Year Couple Membership
$
30.00
1 Year Family Membership
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Specific dietary requirements Food allergies or medical issues
Back
Next
Signature
Signing Date
-
Month
-
Day
Year
Date
Apply for Membership
Apply for Membership
Should be Empty: