RéVive

Your details

Name*

First name Last name

Email address

Phone number*

Secondary phone number

Would you like to provide an address?

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No

Primary address*

Address line 1 Address line 2 Town / city County / state Postal code Country

Would you like to provide a secondary address?

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No

Secondary address*

Address line 1 Address line 2 Town / city County / state Postal code Country

Are you based in the UK?*

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No

Date of birth

You can receive birthday gifts and offers if you provide this

Notes

Rewards

Are you a rewards member?

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No

What is your rewards card number?*

Social media

Would you like to provide your social media accounts?

If you’d like to provide your social media handles here we can make sure you’re always up to date with our offers.

Yes
No

Facebook

Instagram

Twitter

WeChat

Marketing preferences

From time to time we would like to update you about our products and services by email, post, phone or social media. Please tick the corresponding boxes to let us know how you’d like to receive these. You can opt-out at any time in the future.

Marketing opt-in — email

Email

Marketing opt-in — post

Post

Marketing opt-in — phone

Phone

Marketing opt-in — social media

Social media

Privacy

Privacy*

We respect your privacy and your desire to understand how your information will be handled and used. RéVive adheres to Harrods Privacy Policy (click here to read) which explains how we collect, use and store your information.

I have read and understood how you handle and use my data

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