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How to become a Cocoa Member?

Purchases made above $100 within a month will entitle you to become a Cocoa Member.

Once confirmed, you will received a personal cocoa member ID. This membership will valid for a year upon receiving confirmation email.

Always provide your email and cocoa member ID when purchasing order to enjoy the privileges.

Pls take some time to complete the application form.

Name:
Birth Date:
Birth Month:
Birth Year:
Contact No:
Email Address:
Mailing Address:
Month of Purchase:
Year of purchase:
Order No. & Amount Paid:
View Terms & Conditions for member's privileges.
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