LJ - Mailing List

Your Email:
First Name:
Surname:
Address:
Suburb:
State:
Post Code:
Country:
Ph:	[ ]
Age:	Under 20 20-29 30-39 40-49 50-59 60 and over
Gender:	M F
Skin type:	Oily/Problem Combination Dry/Mature Normal
Skin problems:	Acne Pigmentation Redness Scars Wrinkles
	What brand(s) of skin care products do you use?
	Where did you find out about LYDIA JORDANE - Clearly More Beautiful Skin?

DISCLOSURE STATEMENT
Elemi PTY LTD T/A Lydia Jordane International, Lycon Cosmetics and Hair Free Waxing Company ABN 44426223713 is collecting your personal information for accounting purposes, customer care programmes and identifying suitable products for individuals. We may also use your personal information to keep you up to date on products and services, include you in promotions and invitations to product launches. Disclosure of your personal information to Third Parties (see our Privacy Statement) may be necessary to fulfil these purposes. If the information we request is not provided then we may not be able to provide you with products or services which you request or which we are contracted to provide if we do not have the necessary information. If you provide us with any sensitive information such as skin type and health issues then you consent to our collection and use of that sensitive information in accordance with our Privacy Statement (including disclosure of that sensitive information to Third Parties).] For further information on how to access your personal information or on our information handling practices, please click here.