Thank you for participating in our Club Rewards Programme. To redeem for your Charge Card Annual Membership Fee
Waiver, please PRINT out this Redemption Form, complete and fax to: 6294 0534 or mail it back to: Diners Club (Singapore)
Pte Ltd. 7500E Beach Road, #03-201 The Plaza, Singapore 199595. For more information, please call our Customer
Service at 6416 0905.
Annual Membership Fee Waiver
Name of Basic Cardmember: _____________________________________________ Signature & Date: _____________________
Mailing Address: _____________________________________________________________________________________________
Contact No.: (H) ____________________ (O) ____________________ (HP) ____________________ (Fax) __________________
Name: ________________________________________________________________ IC/ Passport No.: _____________________
For Frequent Flyer Miles redemption, processing will take 6-8 weeks.
Changes & cancellations will not be entertained. Subject to the Terms & Conditions of the Club Rewards Programme.
I wish to select the following scheme:
Please deduct my Club Rewards Points from the following Card(s):
Points To Be Deducted
Diners Club Card Account Number
10,000 pts / $0
5,000 pts / $0
7,500 pts / $25
3,750 pts / $17.50
5,000 pts / $50
2,500 pts / $35
2,500 pts / $75
1,250 pts / $52.50
• Not applicable for Corporate, Affinity and Co-brand Cardmembers.
• Your redemption of Annual Fee Waiver will be effected after the billing period. Please ignore any fee(s) billed in the interim.
• This form is only applicable for the Diners Club Charge Card. Please use a separate form for the Diners Club Credit Card.
• Subject to Terms & Conditons of the Club Rewards Programme.
Name of Supplementary Cardmember: ______________________________________ Signature & Date: _____________________
GRF No. (Official use only):
Authorised Signatory: _________________________