ASIA BUSINESS ASSOCIATES
 895C Woodlands Drive 50 #04-48 Singapore 732895
 Tel: 6337 2042, 6314 7402  Fax: 6363 9061  Email: enquiry@avipclub.com

AVIP Consumer Card Application Form

(Print out as hard copy, duly completed and sent with payment to the above address)
(必须打印出此表格与付款一起寄至以上地址)

Applicant
申 请 者

 

Address
地 址

 

 

Postal Code
邮 区

  

Tel No
电 话 号 码

 

  

Mobile Phone
手 提 电 话

  

Email
电 子 邮 箱

 

  AVIP Consumer Card (3 years Validity)
消费卡 - 有效期 3 年

@S$20.00

 @RM45.00
 
  AVIP Consumer Card (Unlimited Validity)
消费卡 - 无 限 期

@S$50.00

 @RM125.00
 

Payment Mode
 付 款 方 式

By Cheque
支 票
Issuing Bank / Cheque No.

NOTE:  Cheques should be crossed and made in favour of Asia Business Associates

 

 

 

 

 

Applicant’s Signature   申請人簽名

Date   日期 :