PRICESMART MEMBERSHIP APPLICATION
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1 8.5x11in-application-junio2018TT.pdf 1 6/26/18 10:02 A PRICESART EBERSHIP APPLICATION PLATINU EBERSHIP 2% ANNUAL REWARD Receive up a TTD $3400 in rewards for your purchases in our Clubs. Annual Fee Diamond: US$75.00 VAT included (or its equivalent in local currency). Includes one Primary Card and one Additional Card at no cost. Primary and additional cardholders accumulate 2% reward. Annual Fee Business: US$75.00 VAT included (or its equivalent in local currency). Includes one Primary Card and one Additional Card at no cost. Primary and additional cardholders accumulate 2% reward. Up to 3 Additional Cards available, each at US$ VAT included. DIAOND EBERSHIP AVAILABLE FOR: Individuals, households, and students. Annual Fee: US$39.00 VAT included (or its equivalent in local currency) Includes one Primary Card and one Additional Card at no cost REQUIREENTS: ou must be 18 years or older to join. BUSINESS EBERSHIP AVAILABLE FOR: Companies, businesses and individual people with enterprise activity. Annual Fee: US$34.00 VAT included (or its equivalent in local currency) Includes one Primary Card and one Additional Card at no cost. Up to 3 Additional Cards available, each at US$ VAT included. REQUIREENTS: Bring the completed application, proof of qualification that identifies your business (and you as an owner, manager or director), ID. C C embership Cards with pictures will be issued when you apply in person. our embership is valid at all PriceSmart Clubs Worldwide. PRIAR CARDHOLDER INFORATION : Diamond embership Business embership For PriceSmart Internal Use Only: New Renewal ethod of Payment: Cash Check Credit Card Debit Card Diamond Cash embership Gift Certificate Amount Paid: embership #: # of Cards: Clerk: Till#: Invoice #: Remarks: Date: BUSINESS INFORATION: Business Name: Certificate/Registry/Patent: No. of Employees: Business Phone:: Fax: TPE OF BUSINESS: RETAIL/OUTLET CHAIN 11 Wholesalers 12 Supermarkets 13 ini arkets 14 om & Pops Stores 15 Convenience Stores 16 Auto Parts 17 Importers 18 Concessions 19 Stores FRANCHISE/FOOD SERVICE 21 Restaurants 22 Fast Food 23 Catering Service 24 Bakeries 25 Pizza Places 26 Bars 27 Industrial itchen HOTELS 31 Hotels 32 otels 33 Condominiums 34 Guest House 35 Bed & Breakfast 36 Villas 37 Time Shares 38 Construction 39 Real Estate HEALTH & BEAUT 41 Hospitals/Clinics 42 Laboratories 43 edical Distributors 44 Pharmacies 45 Health companies 46 Veterinaries 47 Gym 48 Spa centers 49 Sports clubs EDUCATION/RELIGION 51 Schools 52 Universities 53 Technical schools 54 indergaden 55 Nursery/Day Care 56 Churches/Temples INSTITUTIONAL 61 Banks 62 Law firms 63 Insurance 64 Government 65 ilitary 66 Non-Profit Org 67 Airlines 68 Rent a Car 69 Unions ENTERTAINENT 71 Social Clubs 72 Cinemas 73 Night Clubs 74 ovie rentals 75 Parks 76 Stadiums
2 8.5x11in-application-junio2018TT.pdf 2 6/26/18 10:02 A ADDITIONAL CARDHOLDER INFORATION: If you are not the Primary Cardholder of the Business account, you will need to present a letter that authorizes your addition to the company membership. The letter must be signed by the Primary Cardholder of the Business Account. BUSINESS ADDITIONAL CARDHOLDER INFORATION 1: C C BUSINESS ADDITIONAL CARDHOLDER INFORATION 2: BUSINESS ADDITIONAL CARDHOLDER INFORATION 3:
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