FORMS One-Time Credit Card Payment Authorisation Form Please enable JavaScript in your browser to complete this form.Prefix *--- Select Choice ---MrMrsMsDrEmail *First Name *Membership No. *Last Name *Amount to Charge *Signature * Clear Signature This is to confirm that I, the mentioned Member, authorise ONE°15 Marina Sentosa Cove Singapore to charge the following credit card in Singapore Dollars (SGD) a one-time settlement of the amount stated above.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 amount indicated above only and is valid for one (1) time use.Submit
