Evolution feels proud to launch the first ever club in the country that is exclusively for ladies only. So here is a chance for all you ladies out there to feel special and enjoy the feeling of being pampered by availing out class privileges designed especially for you only.
To know the details of this club sign up and send back to us.

Name: _______________________________________________________________

Address: _____________________________________________________________

Telephone #: _________________________ Mobile #: ________________________

E-mail Address: ________________________________________________________

Date of Birth: Day___________ Month _______________ Year___________

Occupation: __________________ Designation (If Any): ______________________

Work Place or Institution's Address: ________________________________________

1. Have you ever availed the 50% discount at Ladies Nite at Café Purple Haze?

_____________________________________________________________________

2. Which cuisine do you mostly order? OR Which is you favorite dish?

_____________________________________________________________________

3. If you are a Café Purple Haze customer what do you like best about it?

_____________________________________________________________________

4. How would you like to be informed about Ladies Club News & Events?

E-mail Phone Post

5. How often do you visit Café Purple Haze?

Frequently Occasionally Rarely

 

1. Have you ever attended any events at Evolution like Fashion Show, Concert, etc?

____________________________________________________________________

7. How often do you visit Evolution?

Frequently Occasionally Rarely

 

1. Have you ever visited the Karaoke Nights at Café Purple Haze?

____________________________________________________________________

9. Which color would you prefer for your membership card?

Purple Pink

1. Do you want your card delivered by post or you would like to collect it yourself?

____________________________________________________________________

Postal Address (If want it to be delivered): ____________________________________________________________________

All the information provided in the Form will be kept strictly confidential.