Transcription of PEMEGANG LESEN DIBAYAR OLEH BAYARAN POS AKAN The …
1 The Platinum Card . priority PassTM application form NO STAMP REQUIRED. BAYARAN POS AKAN. DIBAYAR OLEH. PEMEGANG LESEN . SETEM POS. TIDAK DIPERLUKAN. SAMPUL SURAT JAWAPAN PERNIAGAAN. NO. LESEN : BRS 4207 KL. Maybank Card Centre 7th Floor, Menara Maybank 100, Jalan Tun Perak 50050 Kuala Lumpur Glue Here. Glue Here. To apply, complete the relevant form and fax it to 03-2070 6868, SUPPLEMENTARY Platinum member Personal Details email to or mail to Maybank Card Centre, 7th Floor, Menara Maybank, 100 Jalan Tun Perak, Salutation 50050 Kuala Lumpur. We will handle the rest - it is as easy as that. For Mr Mrs Ms Others (please specify) more details, please call The Platinum Card Service at 1 800 88 0886 Surname or visit Given Name Address Yes, I would like to become a member of priority PassTM, the world's largest independent airport lounge access programme. Principal Platinum member Personal Details City Postcode Salutation Country Mr Mrs Ms Others (please specify) Tel.
2 No. Surname E-mail Given Name Cardmember's Name (as it appears on the Card). Address Card Billing Address (if different from above). City Postcode Country City Postcode Tel. No. Country E-mail Platinum Card No. Cardmember's Name (as it appears on the Card) 3 7 6 2 4 9. Glue Here. Glue Here. Fold Here. Expiry Date M M / Y Y Source Code: HXPCCEB4 SMYNMAY. Card Billing Address (if different from above). Terms & Conditions: Maybank reserves the right to change any or all of the above terms and conditions whenever deemed necessary within Twenty One (21). calendar days notice. City Postcode Accompanying guest(s) can be signed in but will be charged accordingly. Only one Supplementary member can be enrolled for the Country complimentary priority Pass membership. Platinum Card No. You will receive your physical priority Pass membership card within 3 7 6 2 4 9 7 - 14 working days from date of confirmation of your membership.
3 Expiry Date M M / Y Y Source Code: HXPCCEA4 BMYNMAY I instruct priority Pass Ltd to charge lounge usage fees for all my accompanying guest(s), when received, at the prevailing rate (currently at USD27 per Terms & Conditions: person, per visit) to my Platinum Card. Renewal terms and conditions are at Maybank reserves the right to change any or all of the above terms the discretion of priority Pass Ltd. I agree to abide by the conditions of use and conditions whenever deemed necessary within Twenty One (21) contained in calendar days notice. Signature of Supplementary Applicant You can bring in one guest free of charge. Any other accompanying guest(s) can be signed in but will be charged accordingly. You will receive your physical priority Pass membership card within 7. - 14 working days from date of confirmation of your membership. Name Date I instruct priority Pass Ltd to charge lounge usage fees for my accompanying guest(s) in excess of one, when received, at the American Express is a trademark of American Express.
4 The American Express Card prevailing rate (currently at USD27 per person, per visit) to my is issued by Malayan Banking Berhad pursuant to a license from American Express. Platinum Card. Renewal terms and conditions are at the discretion of priority Pass Ltd. I agree to abide by the conditions of use contained in Signature of Principal Applicant Maybank Card Centre 7th Floor, Menara Maybank, 100 Jalan Tun Perak, 50050 Kuala Lumpur, Malaysia Name Date Glue Here. Glue Here.
