Keiki VIP Card for TIMES@Mililani
Application form for the use of keiki shopping cart at TIMES@Mililani • Please fill up this web form to apply for Keiki VIP Card for TIMES@Mililani.
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Name of Child (First name and Last name) *
Only first name will be used on the Keiki VIP Card
Name of Parent (First name and Last name) *
Contact Number *
Email *
We will email you when your Keiki VIP Card is ready for pick-up at the customer service center of TIMES@Mililani.
Address *
Street Name, Apt #
Zip Code *
By completing this form, Parent agrees to give TIMES@Mililani permission to create a personalized KEIKI VIP CARD. KEIKI VIP CARD is to be used as the collateral for KEIKI SHOPPING CART at TIMES@Mililani only. It is not a formal form of identification for any other purpose. *
We will not share your info with any 3rd party.
Required
Parent will be required to email TIMES@Mililani a current image of the child who is applying for the KEIKI VIP CARD *
We will contact you via email to provide further instruction.
Required
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