CONFIDENTIAL

1 Pasir Ris Close Singapore 519599

NTUC CLUB
CREDIT CARD AUTHORIZATION FORM

I, _____________________________ authorize NTUC Club to charge to my credit card.

(Full name as in Credit Card)

Details of my credit card :-

Credit Card Number :

Type of Credit Card : Amex / VISA/ Master *

Expiry Date (MM/YY) :

Amount : S$

Being payment for :

Nature of Payment : Deposit / Partial Payment / Full Payment *

Date of Function / Event :

Check In / Out Date (if applicable) :

Type of Function / Event :

Room Type / No. of Rooms (if applicable) :

Venue of Function / Resort :

Invoice / Letter of Confirmation/ Contract/ Function

Reference Document : Order/ Others*:______________________
(please specify)

Reference Document No :

* Please delete accordingly.

____________________________________________________
Signature (as per my credit card)/ Company Stamp (if applicable)

Dear Customer,
Upon completion, please fax this form to ______SANDY TAN_______
(Name of person in charge)

Our Email / fax number is – sandy.tan@ntucclub.com.sg / +65 6582 5332

Important Notes :

D’ Resort is a division of NTUC Club

All payment should be made payable to “NTUC Club”

By filling in your information above, you consent to the collection, use, and
disclosure of your personal data to NTUC Club, its entities, employees, and other
third parties such as eNETS and the banks involved in order to process your
request
NTUC CLUB 65 6589 1666 TELEPHONE
1 Pasir Ris Close Singapore 519599 65 6582 5332 FAX (Sales Office)
www.ntucclub.com