Please, Add my Card

So your loyalty card or your brand is not in SelfPass yet ?

Just send us few information to get this fixed. The more accurate and precise your report, the better for us (and for you...).
Please be nice with us, we do this for free :)

About You

First Name*

Last Name

E-mail*

E-mail (verify)*

About the Brand

Brand*

What's the brand/vendor name for your card ?

Brand website

About the Card

Card Name*

What's the name for this card ?

Country*

What's country for that card ?

Image (Side A)*

Please scan your card (side A)

Image (Side B)

Please scan other side of your card (side B) if a barcode is present

Notes

Feel free to add as much information as possible, so that we can conclude quickly and easily

Data of this form will stay confidential between you and us. We just use it to make your prefered brand available on SelfPass. Nothing else. We won't sell these data nor will spam you.