CHANEL

Please complete the following form to receive your set of
N°1 DE CHANEL samples.*

Please note: Title is required.

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Please note: You must be 18 years old or older.

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I have read, understood and agreed my personal data collected to be kept and used as stated in the Personal Information Collection Statement.

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I agree to the Legal Statement and Privacy Policy.

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I wish for Chanel (Australia) Pty Limited and CHANEL Organization to send me brand communications about new collections, products, services and events through email, phone, SMS, instant messaging and post, until such time as I withdraw my consent.

PERSONAL INFORMATION COLLECTION STATEMENT

You hereby consent for yourself and on behalf of any other person whose personal data you have provided, to Chanel, together with our parent and affiliates ("CHANEL") using the personal data you have provided (the "Personal Data") for the purpose of customising and sending my keepsake and, subject to your consent, for direct marketing purposes in relation to CHANEL fashion and accessories, watches and fine jewellery, and fragrance and beauty products. Subject to your consent, you agree that Personal Data may be shared, disclosed or transferred to the CHANEL group of companies worldwide and to agents and providers of administrative, marketing and research services for such purposes. CHANEL will honour your request not to use Personal Data for the marketing purposes noted above. If you wish to make such a request, please contact the Customer Service Officer. You hereby consent to the transfer of Personal Data to places outside Australia to carry out the purposes, or directly related purposes, as described in this statement. You have a right to request access to, correction or deletion of Personal Data. If you want your name to be removed from our contact and mailing list or you want to make enquiries concerning Personal Data (including making access and correction), please address to the Customer Service Officer, CHANEL Australia Pty Ltd, Level 31, 100 Mount Street, North Sydney NSW 2060 (Email address: client.services@chanel.com.au). Further information about CHANEL Australia’s Privacy Policy can be obtained at www.chanel.com.au.