PKC

Kindergarten/Primary School Name

Contact Person Name

E-Mail Address

State

Address

Contact no.

Fax no.

Number of teachers

Estimated students

I, HEREBY DECLARE MY INTEREST TO PARTICIPATE IN PELANGI KIDS CLUB (PKC) LOYALTY PROGRAM AND WILL FULFILL THE MINIMUM REQUIREMENT NEEDED TO BE ELIGIBLE AS A MEMBER IN THE SAID CATEGORY AS STATED ABOVE.
I ALSO ACKNOWLEDGED THAT ALL MEMBERSHIP BENEFITS AS STATED ABOVE ARE PENDING APPROVAL FROM PKC LOYALTY PROGRAM ADMINISTRATOR AND SUBJECT TO CHANGE WITHOUT PRIOR NOTICE.