FORMS Monthly Membership Account Payment Form Please enable JavaScript in your browser to complete this form.Prefix *--- Select Choice ---MrMrsMsDrEmail *First Name *Membership No. *Last Name *Signature * Clear Signature This is to confirm that I, the mentioned Member, irrevocably authorise ONE°15 Marina Sentosa Cove Singapore to bill to the following credit card in Singapore Dollars (SGD) the monthly due in my membership account for all future dues.Credit Card DetailsCard Type *--- Select Choice ---MastercardVisaAmexExpiry Date *Credit Card Issuer *Name of Cardholder *Credit Card Number *Credit Card Number *Cardholder's Signature * Clear Signature By signing this box, you authorise ONE°15 Marina Sentosa Cove Singapore to charge the monthly due of the mentioned Member to the above credit card provided.Submit
