NEW AEON CREDIT CARD APPLICATION FORM BORANG by dab14691

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									                                          NEW AEON CREDIT CARD APPLICATION FORM / BORANG PEMOHONAN KAD KREDIT NEW AEON


  NEW AEON Gold Credit Card /               NEW AEON Classic Credit Card /
  Kad Kredit Emas NEW AEON                  Kad Kredit Klasik NEW AEON

Application for NEW AEON Gold/Classic Card MUST HAVE VALID J CARD MEMBERSHIP /
Untuk permohonan Kad Emas / Klasik NEW AEON, anda MESTI MEMPUNYAI KEAHLIAN J CARD YANG SAH.




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 J CARD FORM / BORANG J CARD

               IMPORTANT NOTE: If you are not yet a J Card member, please apply for your J Card Membership first at
                        any J Card Counter before submitting the NEW AEON Credit Card Application.
Store apply at / Pemohonan di Stor

      JUSCO                                                     MaxValu
I wish to apply for / Saya ingin memohon:
Principal / Utama                                            Supplementary / Tambahan
     New / Baru                                                   New / Baru                     City / Bandar                                       State / Negeri
     Renewal / Pembaharuan                                        Renewal / Pembaharuan                                                                     e Tel No. /   No. Tel Pejabat




  PRINCIPAL CARD / KAD UTAMA

                                                                                                   SUPPLEMENTARY CARD / KAD TAMBAHAN




                               Date of birth/ Tarikh Lahir


                                                               Nationality/ Warganegara




  Mailers preferred /                       Surat berita pilihan                                  My preferred J CARD/                        J CARD pilihan saya
          Food & Dining / Makanan                                          Healthy Lifestyle /                                          Principal / Utama          Supplementary/           Tambahan
          Beauty / Kecantikan                                              Healthy Lifestyle                     Siti*
          Fashion / Fesyen                                                 Golf / Golf                           Bluescape
          Household / Perkakas Rumah                                       Computer / Komputer
                                                                                                                 Breezy
          Children / Kanak-kanak & Bayi
                                                                                                                 KL Skyline
  Profession /              Kerjaya                                                                              New Life
          Professional /                                                   Non-Executive /                       Rose
          Profesional                                                      Bukan Eksekutif                       Russet
          Own Business /                                                   Homemaker /
                                                                                                 I agree to participate and abide by the J CARD Terms & Conditions. I accept that any decision made with
          Perniagaan Sendiri                                               Suri Rumahtangga
                                                                                                 regards to this membership will be final and no correspondence will be entertained / Saya bersetuju
          Manager & above /                                                Student /             untuk turut serta dan mematuhi syarat dan peraturan J CARD. Saya menerima sebarang keputusan yang
          Pengurus & ke atas                                               Pelajar               dibuat berhubung dengan keahlian ini adalah muktamad dan sebarang surat-menyurat tidak akan
                                                                                                 dilayan.
          Executive /                                                      Other /
          Eksekutif                                                        Lain-lain

 Gross household income /                                    Pendapatan seisi rumah

          <RM2,000                                                         RM6,001 - RM8,000
          RM2,001 - RM4,000                                                RM8,001 - RM10,000      X                                                   X
          RM4,001 - RM6,000                                                >RM10,000               Signature of Principal Applicant /                  Signature of Supplementary Applicant /
                                                                                                   Tandatangan Pemohon Utama                           Tandatangan Pemohon Tambahan

								
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