Ordinary + Family Membership Bundle Form – AUTOMOBILE ASSOCIATION OF SINGAPORE

"*" indicates required fields

1Details of Principal (Ordinary) Member

2Details of Family Member

3Residential Address

4Registration Type

REGISTRATION FORM

Details of Principal (Ordinary) Member

Name of Ordinary Member as in NRIC*

AA Membership No.*

Ordinary Membership Expiry Date*

Email*

Mobile Phone*

REGISTRATION FORM

We would like to update our address (if applicable)

Postal Code

ZIP / Postal Code

Block/House No.

Street Name

Building Name

Floor Level

Unit No.

Country

REGISTRATION FORM

Ordinary + Family Membership Registration

We would like to renew our AA Ordinary & Family Bundle Membership:*

3-year@SGD315 (Receive BLACK+DECKER 12V Drill & Home Tool Kit worth SGD137.70)

3-year@SGD315 (Receive BLACK+DECKER 20V Cordless Handless Vacuum worth SGD70.50)

3-year@SGD315 (Receive ACERPURE Cozy Air Circulator worth SGD158)

2-year@SGD218 (Receive SPECO Nano Spray Bundle worth $29.90)

1-year@SGD111

Note: Gift redemption for BLACK+DECKER 12V Drill & Home Tool Kit is only available after 28 February 2023 at AA Centre @ 2 Kung Chong Road, #04-01, Singapore 159140.

Note: Gift redemption for BLACK+DECKER 20V Cordless Handheld Vacuum is only available after 28 February 2023 at AA Centre @ 2 Kung Chong Road, #04-01, Singapore 159140.

Note: Gift redemption for Acerpure Cozy Air Circulator is only available after 28 February 2023 at AA Centre @ 2 Kung Chong Road, #04-01, Singapore 159140.

DECLARATION & AUTHORISATION **

I agree to the below Declaration & Authorisation

I have read and agree unconditionally to be bound by AA’s Constitution, Terms and Conditions, Service Policy and Privacy Policy. I understand that AA reserves the right to reject any application in its sole discretion without giving any reasons.

I certify that the particulars and information furnished herein are true and accurate.

I understand that my AA Membership e-card can be accessed from the AA Singapore App.

I understand that the Terms and Conditions, Service Policy and Privacy Policy are available on AA’s website.

I understand that RAS is handled by AA’s subsidiary, AutoSwift Recovery Pte Ltd (“ASR”). I consent to ASR accessing, collecting, using and disclosing my personal information for the purpose of verifying my identity and membership with AA and in connection with the carrying out of such RAS. I also consent to ASR communicating with me for the purposes of carrying out the RAS.

In order for me to enjoy insurance services available to AA Members, I consent to AAS Insurance Agency, a subsidiary of AA and its partners, assessing, collecting, using and disclosing my personal information which I have furnished to AA. I also authorise and give consent to AAS-Insurance Agency and its partners to communicate with me via post , email, SMS text messaging and/or telephone on any insurance product, service, benefit and /or promotion.

When I participate in any contests, activities or events organised by AA, I authorise and give consent to AA, its subsidiaries and partners to use photographs and/or video images taken at contests, activities or events in which I have been captured. The image(s) may be published in any of AA’s communication materials and collaterals and also in connection with any of AA’s business partners’ publicity purposes.

In order for me to enjoy additional membership services or benefits that AA may extend to its members from time to time, I understand and consent that approved third party service providers may use my information in order to render the services or benefits extended by AA.

I authorise and give consent to AA, its subsidiaries and partners to communicate with me in respect to this application and membership services, including benefits, insurance, campaigns, promotions, activities and events via post, email, SMS text messaging and /or telephone. I reserve the right to opt out of such communications if necessary.