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Introduce Your Business Partners to Shell Card Programme Referral Form Refl_SC_V1_2017
Fill out the form below to refer your Business Partners to Shell Card. They will be contacted by a friendly Shell Card account manager.
Just email to shellcardreferral@
Programme period 15th February 2017 to 31st December 2017
Fields marked (*) are mandatory.
Your Information
Full Name*: Mr/Miss/Madam/Datuk/Datin (Please Circle)
Shell Card Account/Company Name*:
Shell Card Account Number*: MY00 _ _ _ _ _ _
Contact Number*: 60 -
Email Address*:
Mailing Address*:
Date*:
Your Referral Information
Company being Referred 1*:
Contact Full Name*: Mr/Miss/Madam/Datuk/Datin (Please Circle)
Contact Number*: 60 -
Email Address*:
Address*:
Type of Business*: Manufacturing Services
(Please tick ) ( ) Electrical Electronics ( ) RD/ Product Development
( ) Food Beverages ( ) Banking/ Finance
( ) Chemical Petrochemical Products ( ) Logistics
( ) Pharmaceutical ( ) Information Communications Technology
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