Ref No :

MEMBERSHIP PACKAGE OWNERSHIP TRANSFER REQUEST FORM

I _______________________________ (I/C No: ______________________) hereby request to transfer

my Bitney Fans Club Membership Package (Username: ________________________) to
Name: _____________________________ (I/C No: __________________________ ).
Upon signing, I hereby agree:
* I understand that I am submitting an application and granting permission to Bitney Fans Club to transfer
my Bitney Fans Club Membership Package
* If the commision have been calculated, I hereby agree to indemnify the Company from any dispute
arisen on the commision pertaining to the above changes.
* I understand that as all related BENEFIT(s) from the package will be transferred to the new owner once
Bitney Fans Club accepts the application.

Existing Package Owner Sponsor of Existing Package Owner

______________________________ ______________________________
Name: Name:
IC No.: IC No.:
Date: Date:

I __________________________ (I/C No: ______________________) hereby agree to accept the

transfer of the Bitney Fans Club Membership Package from ______________________ (Exisitng Package
Owner full name) Package Username: ________________________

If the commision have been calculated, I hereby agree to indemnify the Company from any dispute
arisen on the commision pertaining to the above changes.

New Package Owner New Account Information

Username
Contact No.
Email Address
Name : Bank Account No.
IC No : Bank Branch
Date :

For Office Uses Only

Customer Service Dept Remarks:
Received By, Approved By,

__________________________ __________________________
Name : Name :
Date : Date :
*Attachment: Photocopies of I/Cs for both parties