Nirvana Membership Application Form

Divine members will enjoy the following perks:

* Exclusive Nirvana starter kit with special BoNa spill-proof travel mug notebook and eco-pen.
* 10% discount on all products/merchandise (not applicable to promos).
* Birthday gift (any BoNa merchandise of your choice).
* All BoNa brew refills at P20 only.
* Exclusives on BoNa Coffee events, news and much more.
* Special access to BoNa Coffee’s exclusive online member page.
* Nirvana membership renewal at privileged prices.

Application Process:
1. Fill-up the form below and check if you agree in the Agreement.
2. Wait for the confirmation email together with the Reference number on your Inbox.
3. Present the Reference Number on the nearest BoNa Coffee Company branch and pay the corresponding amount.

Name *

Full Name
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email *

Provide a working email address, you Reference Number will be emailed here.
Contact Number
Birthday / MM / DD YYYY
Anniversary (if married) / MM / DD YYYY
Which branch is your favorite? BoNa The Serenity Place, Alabang BoNa BF Homes, Parañaque BoNa Nuvali, Sta. Rosa, Laguna
What do you like the most about that branch?
What is your favorite drink at BoNa?
What is your favorite muffin at BoNa?
What is your favorite sandwich at BoNa?
What is your favorite salad at BoNa?
What kind of music do you like listening to?
When do you usually hang out at BoNa?
Who do you usually hang out with at BoNa?
How many are you that hang out together at BoNa?
What do you usually like to do when you're at BoNa?
Read? Talk? Work?
What are some of your Hobbies?
What do you like the most about the BoNa baristas?
What do you like the most about BoNa Coffee Company?
Application Agreement: * I attest that the name and other information I provided above are true and correct. I agree to present the generated Reference Number (will be emailed) of this application to the nearest BoNa Coffee Company shop and pay the corresponding amount with the cashier in order to complete the application process.
You need to agree on the terms to continue.