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PASS CARD APPLICATION FORM

PASS CARD APPLICATION FORM

Pass Card Holder Information

Name(Required)

First Last

NRIC/Passport No(Required)

Date of Birth

MM slash DD slash YYYY

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Number(Required)

Email(Required)

Emergency Contact Person(Required)

First Last

Contact Number (Emergency)(Required)

Company Name

Type of Business

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(Pass Card Holder Information)(Required)

Mr

Mrs

Ms

Dr

Other

Marital Status(Required)

Single

Married

Nationality(Required)

Malaysian

Other

Gender(Required)

Male

Female

Pass Card Category (including 6% Government Tax)(Required)

Privilege Pass Card

Junior Pass Card

Billing Information(Required)

I hereby agree that all transactions to be paid via the payment method above.

Digital Signature of Pass Holder(Required)

Max. file size: 256 MB.

Date of Agreement(Required)

MM slash DD slash YYYY

Upload Profile Image(Required)

Max. file size: 256 MB.

Address

Country Garden Pacificview Sdn.Bhd (1044344D)

Jalan Persiaran Golf 5, Forest City Golf Resort 81550 Gelang Patah, Johor, Malaysia.

Contact Us

golfbooking@fcgolfresort.com
+607 5352 359
+607 5352 361 (中文客服）

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HOME
GOLF COURSES
- LGK CLASSIC COURSE
- JN LEGACY COURSE
FACILITIES
PROPERTY
RATES
NEWS
COMPANY
CONTACT
PASS CARD

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