Peralink Retail Form

    Tell us a little about your business

    Do you have an existing business

    YesNo

    Business Name

    Establishments within walking distance from your proposed business location

    Supermarket/ Wet MarketChurch/ Religious SitesHospital/ ClinicsSubdivisionsPublic School/ College/ UniversityGovernment OfficeTechno Parks

    Location of your proposed business

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    Now tell us something about yourself

    Full Name:

    Birth Date:

    Address:

    Mobile Number:

    Email Address:

    I understand that the information I will be providing will be processed and shall be retained by Cebuana Lhuillier for the following purposes: Peralink Agent; client identification; profiling; direct marketing and cross-selling of products; and compliance to BSP, SEC, AMLA and such other purposes that may be required or allowed by law. I have been informed that I have the option not to give the foregoing information, in which case I understand that my application will not be processed. I have also been informed that I can make corrections to any inaccurate or deficient information and that I have an option to withdraw my consent prior to the processing of my application by emailing Cebuana Lhuillier at [email protected] or calling Telephone Numbers (02) 8779-9800 PLDT | (02) 7759-9800 GLOBELINES.

    By ticking the checkbox, I have read, understood and accept the Data Privacy Policy of Cebuana Lhuillier.