Rewards Redemption Form | Alliance Bank Malaysia

Name / Nama:

I.C or Passport No. / No K.P. atau Paspot :

Alliance Bank Visa / Mastercard No.

Mobile Telephone No. / No. Telefon Bimbit

Delivery Address / Alamat penghantaran:

Postcode / Poskod

City / Bandar

State / Negeri

Gifts & Cash Voucher Redemption / Penebusan Hadiah & Baucar Tunai

No	Product Name	Product Code	Quantity	Three-year Bonus Points (TBP)	Total Points
1	AirAsia membership no. : Enrich membership no. :

Redeemed item(s) will be delivered to you within 21 working days.

OTP Code / Kod OTP: