Enquiries:
Product Description
Product Code
Quantity
BSN001
15000
ENH001
15000
RM
Points
Item 1
Item 2
Item 3
H
BCR001
6 2 9
TOTAL
I hereby confirm the above order and agree to the Terms and Conditions stipulated in the BSN Happy Rewards
Programme. Please process my redemption request and deduct the required number of Happy Points from my
BSN Visa/MasterCard account.
Cardmembers Name:
Delivery Address:
(Delivery of goods will not be made to a P.O. Box address or outside Malaysia)
/
Tel (Office/Home):
0
0
Tel (Mobile):
Email Address:
*To avoid duplication, please do not mail your form if you have faxed it to us.
Received By
Process Date
Quantity
Processed By
Reference No.
Remarks