HOW TO BECOME A MEMBER?

1. PURCHASE RM300 AND ABOVE (WE ACCEPT ACCUMULATED RECEIPTS OVER A PERIOD OF 3 MONTHS)
2. PRINT OUT AND FILL IN THE FORM.
3. ATTACH YOUR RECEIPTS WITH THE COMPLETED FORM AND RETURN TO AND PETS WONDERLAND OUTLETS.
NEW CARD     REPLACEMENT OF CARD
 

PLEASE FILL IN WITH CAPITAL LETTERS.
(* STANDS FOR MANDATORY FIELDS)

SALUTATION:

DR.           MR.           MRS.    MISS

PERSONAL PARTICULATES:

NAME IN FULL*:

NRIC/ PASSPORT NO.*:

DATE OF BIRTH (DDMMYYYY)*:

PRE-ASSIGNED PCM CARD NO. (FOR REPLACEMENT OF CARD ONLY):

RACE:

MALAY           CHINESE         INDIAN    OTHERS

CORRESPONDANCE ADDRESS:

HOUSE NO.* / NO. RUMAH*

APARTMENT / CONDO (if applicable)

STREET* / JALAN*

PARK* / TAMAN* / SECTION*

POST CODE*:

CITY* / BANDAR*

STATE* / NEGERI*:

CONTACT NO.:

HOME*:

MOBILE*:

EMAIL*:

PETS AT HOME (PLEASE TICK)

DOGS           CATS           RABBITS    HAMSTERS & GUINEA PIGS 
BIRDS FISH             REPTILES     SMALL ANIMALS

SHOPPING PREFERENCES

BESIDES PETS WONDERLAND, WHERE DO YOU CURRENTLY SHOP FOR YOUR PET SUPPLIES?*

___________________________________________________________________________

FOR OFFICE USE:

MEMBERSHIP NO.

ENTERED BY:

DATE:

 

I AGREE TO PARTICIPATE AND ABIDE BY THE PETS WONDERLAND PRIVILEGE CARD TERMS AND CONDITIONS. I ACCEPT THAT AND DECISION MADE WITH REGARDS TO THIS MEMBERSHIP IS FINAL AND NO CORRESPONDANCE WILL BE ENTERTAINED.

 

__________________
SIGNATURE OF APPLICANT

NOTE: REPLACEMENT CARD WILL BE CHARGED RM5.00.
PLEASE STATE YOUR PRE-ASSIGNED MEMBERSHIP NUMBER.