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 KL
Tel : 03-2788 6600 / 03-2788 6688
Fax : 03-2788 6690 / 03-2788 6689

Date

Attn To

Membership No.

Dear Sir / Madam,

RE

: AUTOMATIC CREDIT/DEBIT CARD PAYMENT AUTHORIZATION

I, ________________________________________________, bearer of NRIC / Passport No. _________________________

hereby authorize Swiss-Garden International Vacation Club Bhd (SGIVC) to debit my credit/debit cards account indicated
below as advised by SGIVC. In the event of any cancellation of the purchase (at least 3 working days before the travelling
date), the money paid will be refunded free of interest within 30 days from the date of cancellation.
Card Type

Credit Card No.

Bank

Expiry Date

Amount (RM)

Visa

Master

Debit

Diners Club

American Express

**Please enclose a photocopy of credit/debit card (front & back)**

Resort/Hotel

Buffet Breakfast (RM53 nett per voucher)

Date Requested
Quantity

Swiss-Garden Hotel & Residences, Kuala Lumpur

Swiss-Garden Beach Resort, Kuantan
Swiss-Garden Beach Resort, Damai Laut
Swiss-Court Holiday Apartments Damai Laut
Swiss-Villas / Anggerik
Notes: 1 buffet breakfast voucher is valid for 3 adults OR 2 adults and 2 children (below 12 years old)
Compliance with Personal Data Protection Act 2010, I/we have agreed to give the above personal data to Swiss-Garden
International Vacation Club Berhad, and give the rights to SGIVC to collect, keep, update and disclose my/our personal data if
necessary.

Signature of Cards Holder

Date

H/P No.:
For cash payment, please arrange at any Malayan Banking Berhad counter.
Account Name : Swiss-Garden International Vacation Club Bhd
Account No.: 5140 1157 2498
* Kindly notify us by faxing the bank-in slip to 03-2788 6690 or email to memberservices@sgivacationclub.com
08/2015