Redemption Order Form

Redemption is valid until further notice /
Penebusan sah sehingga diberi notis
Name / Nama:


I.C / Passport No / No. K.P./Pasport:


Delivery Address /Alamat penghantaran:






State / Negeri:
Postcode / Poskod:
Email / Emel :


Home Telephone No / No. telefon rumah:


Office Telephone No / No. telefon pejabat:


Mobile Telephone No / No. telefon bimbit:


Alliance Bank VISA Mastercard No /
No. VISA / MasterCard Alliance Bank:
- - -
 
Card Expiry Date/ Tarikh luput kad:
/

 

Gifts & Cash Voucher Redemption / Penebusan Hadiah & Baucar Tunai

No.
Description
Deskripsi
Product Code
Kod Produk
TBP Points
Mata Ganjaran TBP
Quantity
Kuantiti
Total / Jumlah

Redeemed item(s) will delivered to you within 3 weeks. Excluding weekends and public holidays.

 

Enrich Miles / BIG POINT Redemption / Penebusan Enrich Miles / BIG POINT

Product Code
Kad Produk
Enrich Membership/BIG SHOT ID No.
No. Ahli Enrich/BIG SHOT ID
TBP Points
Mata Ganjaran TBP

Redeemed item(s) will delivered to you within 3 weeks. Excluding weekends and public holidays.


To order, please complete this form and email, mail OR fax to
the following address:

Untuk membuat pesanan, sila lengkapkan borang ini dan
e-mel, kirim ATAU faks kepada alamat berikut:


Alliance Bank Card & Payment Services
P.O. Box 13417, 50810 Kuala Lumpur
Fax: 03-5621 5624
Email: info@alliancefg.com

To avoid duplication, please choose to either email, mail OR fax this form. For more information, please call our Customer Service Officers at 03-5516 9988.
Untuk mengelakkan duplikasi, sila pilih untuk e-mail, kirim ATAU faks borang ini. Untuk maklumat lanjut, sila hubungi Pegawai Khidmat Pelanggan kami di 03-5516 9988.
Note:
  1. This redemption is not applicable for You:nique Rates Card & You:nique Rebates Card.
Nota:
  1. Penebusan TBP tidak boleh digunakan untuk Kad Kadar You:nique dan Kad Rebat You:nique.


 
 
Signature / Tandatangan Date / Tarikh