Full name (as per NRIC)

New NRIC No. - - Army or Police ID / Passport No.

Petron Miles Privilege Card No.
Please deduct points from my card for the Rewards Redemption below.
Full name (as per NRIC)

New NRIC No. - - Army or Police ID / Passport No.
Address
(Malaysia Address Only)
Postcode City Email
State
Home Tel. No. Office Tel. No. Mobile Tel. No.
- - 0 1 -
Petron Miles Privilege Card No.
Please deduct points from my card for the Rewards Redemption below.
1) Please complete the form in BLOCK LETTERS. All personal particulars are necessary for us to process your rewards redemption.
2) Fax the form to us at 03-2161 8233, email to pmiles@petronmiles.com.my or drop it at any Petron, Esso or Mobil service stations.
3) Please allow up to 4 weeks from receipt of your Redemption Form for reward items to be delivered.
To ensure that your rewards arrive to you on time, kindly ensure that there is someone at the delivery address to receive the package.
4) For more information, please call the Petron Miles Customer Service Centre at 1 300 888 812.
*Terms and conditions apply for all Petron Miles Privilege Card Programme.
REDEMPTION FORM
I agree that my Petron Miles Points will be deducted for the purpose of redemption of rewards stated above.
Member's Signature
Date:
Signature of 2nd Cardmember (if applicable)
Date:
Rewards Redemption
Please fill up the box below to Redeem your Rewards
Applicable if combining Points with another member for Rewards Redemption:
Code Points Per Qty Qty Total Points
1
2
3
4
5

GRAND TOTAL
Example:
Code Points Per Qty Qty Total Points
1 S006 2350 2 4700
2 S022 8900 1 8900
3 S025 7450 1 7450
Grand Total 21050
I agree to convert Petron Miles Points* to PLUSMiles.
Petron Miles Points can be converted to PLUSMiles Points in blocks of 500 points.
Please convert my Petron Miles Points to my PLUSMiles membership account:
I agree to convert Petron Miles Points* to Enrich Miles.
Petron Miles Points can be converted to Enrich Miles Points in blocks of 600 points.
Please convert my Petron Miles Points to my Enrich Miles membership account:
Petron Miles conversion to PLUSMiles Petron Miles conversion to Enrich Miles
Station A/C No.:


For office use only
Operator / Station Stamp
M H
8/5/14
PETRON
PETRON
Rozie
Dickson
Eujin
France XX : XX
Job Number
Description
Trimmed Size (FA)
Bleed Size
Text Area
DTP
Studio Manager
Designer
Copywriter
Art Director
ECD/CD
Brand Team
Client
Date
Scale Size
PETR000297
Smiles Re-Branding Phase 2_Petron Miles Redemption Form
29.7cm (H) x 21cm (W)
XX mm (H) x Xxx mm (W)
XX mm (H) x Xxx mm (W)