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Best Diesel Club Application Form For Buses

 
  * indicates mandatory feild       
 
Title: *    
Family Name: * Given Name: *
NRIC/Passport No: * Tel (Home):
Date of Birth: * Tel (Mobile): *
Address: *
Please ensure that the address provided is correct for the postage of your card.
Postal Code: *    
Sex: *      
Taxi Company: * Taxi Model: *
Vehicle No: *    
       
BANK ACCOUNT DETAILS (FOR BANK TRANSFER OF REBATES)
Bank: *    
Account Type: *
   
Bank Account No: *    
Name of Account Holder: *    
       
I agree to receive periodic updates about my account, promotional offers and programmes and consent to receipt of such information via SMS, email, direct mailers and other forms of communication.

I agree and accept the terms and conditions of the Best Petrol & Diesel Club & Shell Value Care Card.



FOR EXISTING SHELL VALUE CARD MEMBERS ONLY

Kindly cancel my existing Preferred Partner Discount Programme (PPDP) and transfer the existing points to my new BPDS issued Escape Value Care Card.
Existing Preferred Partner Discount Programme Card No (PPDP):
   
       
   
 
 
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