SWISS-GARDEN INTERNATIONAL VACATION CLUB BERHAD

(Company No. 391578-V)

(A member of PJ Development Holdings Group) S-7-01 & S-7-02, Swiss-Garden Residences, No 2A, Jalan Galloway, 50150 Kuala Lumpur Tel : 03-2788 6600 / 03-2788 6688 Fax : 03-2788 6690 / 03-2788 6689 Date Attn To : Please enclose a photocopy of credit card (front & back) :

Elie Teoh

Dear Sir / Madam, RE I / We Passport No. : AUTOMATIC CREDIT CARD PAYMENT AUTHOROZATION bearer of NRIC / hereby authorize Swiss-Garden International Vacation Club

Bhd (SGIVC) to debit my credit cards account indicated below as advised by SGIVC. Details of Credit Card Credit Card No. Bank Expiry Date Amount (RM) : : : : : Visa Master Diners Club American Express

SPECIAL BUFFET BREAKFAST PROMOTION (FOR SGIVCS MEMBER(S) / ASSIGNED GUEST(S) ONLY) Priced at RM 40 nett (for 2 adults and 2 children below 12 years old OR 3 adults only) Available at : Swiss-Garden Hotel & Residences, Kuala Lumpur Swiss-Garden Resort and Spa, Kuantan Swiss-Garden Golf Resort & Spa, Damai Laut : : :

Date Requested No. of Person(s) Membership No.

Adults &

Children

I HEREBY REQUEST AND AUTHORIZE SGIVC TO DEBIT MY CREDIT CARD AS INDICATED ABOVE. IN THE EVENT OF ANY CHANGES, I UNDERSTAND THAT I SHALL KEEP SGIVC INFORMED IN WRITING AND A MINIMUM OF 30 WORKING DAYS IS REQUIRED TO EFFECT THE CHANGES. Thank you.

Signature of Cards Holder

Date