Clique Loyalty
When you come to Clique Clinic, our sincerest wish is that it will not be a one-time only visit.

To say ‘THANK YOU’ for visiting and to let you know how very important you are to us, we would like to invite you to become a member of Clique Loyalty Programme.

With our point-based Clique Loyalty Programme, we will give you a Clique Loyalty Point for every Ringgit you spend at Clique Clinic. Once you have collected certain points, you are able to redeem a treatment/skin care product of your choice. Terms apply.

To join Clique Loyalty Programme, please complete the quick-and-easy form below, and one of our friendly staff members will be in touch with you.
Upon successful application, a Clique Loyalty member will be entitled to:
1. 2,000 reward points
2. A foldable tote bag (while stock lasts)
3. 10% discount on your first purchase of 2 or more skin care products
4. RM200 off your first skin peel

New Registration
Full Name (as per IC) *
Your answer
NRIC/Passport No. *
Your answer
Mobile Phone Number *
Your answer
Email Address *
Your answer
Date Of Birth *
MM
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DD
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YYYY
Preferred Contact Time *
Are you an existing client? *
By clicking the SUBMIT button, you agree to receive future promotion or newsletter from us. We respect your privacy and WILL NOT disclose any information shared or sell your personal details to third party without your consent. I agree that all information I have provided in this application is true, to the best of my knowledge and I adhere to the terms and conditions of this programme. *
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