San Miguel Great Food Club

Join in all the fun and happenings, or be eligible for special discounts and features on this site when
you join the Great Food Club. If you want to receive faster informarion and/or invitation from the
San Miguel Pure Foods Culinary Center, please provide us with your mobile number(s) and e-mail address(es).

* All fields are required to be filled up. Indicate "NA" for fields that are not applicable to you.

I. REFERRAL DETAILS

Referred by :

First name

Middle name

Last name

Relation to member :

Address :

Contact No. :

II. ALL ABOUT ME

E-mail adress:

Confirm email :

Password :

Confirm password :

Full name :

First name

Middle name

Last name

Nickname :

Address :

Address 1

Street address

Village / barangay

City

Zipcode

Country

Address 2

Street address

Village / barangay

City

Zipcode

Country

Address 3

Street address

Village / barangay

City

Zipcode

Country

Mailing address :

home office

Age Range :

Gender :

male female

Birthdate :

Civil status :

single married widow(er)

Occupation :

Work status :

School
graduated from :

Size of household (select multiple items)
Immediate Family	Household help	Extended family / other relatives
Parents Children

With children 16 years and below - include all children living in the household (select multiple items)
Below 2 years old	4-6 years old	10-12 years old
2-3 years old	7-9 years old	13-16 years old

Who plans the menu?
Me	Dad / Husband	Maid / Cook
Mom / Mom-in-law	Children	Other relatives

Who does the cooking in the house most of the time?
Me	Dad / Husband	Maid / Cook
Mom / Mom-in-law	Children	Other relatives

Other times?
Me	Dad / Husband	Maid / Cook
Mom / Mom-in-law	Children	Other relatives

Subscribe to my great food club mailing list?	yes no
Subscribe to mobile update?	yes no

Contact Details :

Cellphone :

Landline :

Other email :

III. FACILITIES FOUND IN THE HOME

IV. MY EXPECTATIONS AND INTERESTS

Activities and projects that interest me