Exclusive Privileges Programme Service Form

Help us to serve you better

All fields with (*) are mandatory.
Information is required for all communications to the Company on the Exclusive Privileges Programme.

Type of Services

Second Card Request (Only for company with 1 card)
Card Replacement (Fee of S$25 nett per card)
Card Cancellation

Company

Company Registration Number

Company Mailing Address

Salutation

Company's Contact Person's First Name

Company's Contact Person's Last Name

Company Contact Number

Company Email Address

Number of cards for cancellation

Name on Card

Membership Card Number 1

Name on Card 2

Membership Card Number 2

You may wish to provide us more information