Ju-Ju Monkey Loyalty Rewards Application
Want to earn Monkey Money back on every purchase made at Ju-Ju Monkey? Sign up for our FREE loyalty rewards program. Just fill out this form and agree to receiving our newsletters.

Your first 6 purchases you will earn 5% back and receive a gift certificate in the mail.
Every 6 purchases thereafter will earn 10% back!

Once you reach your SIXTH card, you will become a Very Important Primate (VIP) and will be invited to our exclusive Tribe that comes with it's own special perks!

Reach your TWENTIETH card and become a Black Card holder.

Membership remains active with 1 purchase in a calendar year and newsletter subscription. One box filled per day per card, unless special promotion.

Name (First and Last) *
Your answer
email *
Your answer
Your Mailing address......
...so we know where to mail your gift certificates to. If you move, please come back here and re-submit the form with your new address.
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Cell Phone Carrier
Your answer
Best way to reach you (If picking text, we need to know your carrier)
Hours okay to contact you by phone. We don't want to call you too late or too early to answer a question.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Ju-Ju Monkey, Inc. Report Abuse - Terms of Service - Additional Terms