DIKA LOYALTY PROGRAM OPT OUT FORM
I hereby give
notice that I am opting out of the DiKa Loyalty Program. I am aware that in
case of re-inclusion in the Program, within a period of up to 1 year from the
date of the previous inclusion, I owe a fee in the amount of BGN 5, necessary
for issuing a new customer card.
Name and surname:*............................................. ................................................
................................................ DiKa's
shop:*................................................ ................................................
............ ................................... Reason for opting out :
.............................................. ................................................
........... .......... ................... .
.................. ...........................................................
/Date/ /Customer Signature/ (only if this form is on paper)
Fields marked with * are required.
