Loyalty Program Enrollment Form

Loyalty Program Enrollment Form — Form Fields

This sales template includes 6 fields. Enroll customers into a tiered loyalty or rewards program through a simple intake form. Captures contact details, purchase history preferences, and communication opt-ins. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, optional)
• How Often Do You Purchase? (dropdown selection, required) — options: Weekly, Monthly, Quarterly, Occasionally
• Communication Preferences (checkboxes, optional) — options: Email newsletters, SMS notifications, App push notifications
• Preferred Reward Type (multiple choice, optional) — options: Discount vouchers, Free products, Exclusive access / events, Cash back