Pan Pacific | Exclusive Dining Membership Singapore

7 Raffles Boulevard, Marina Square, Singapore 039595

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Membership Selection

Membership Level

About Myself

Salutation/Name *

Name to be displayed on membership card

First Name, Last Name

Last Name, First Name

Name on Card

Gender *

Male

Female

Nationality * (As in your passport)

Date of Birth *

Mobile No * (One number only)

Email Address *

Wedding Anniversary

Name of Spouse

Company / Address Details

Company Name *

Job Title *

Address

Home

Business

Address 1 *

Address 2

City

Country

Postal Code

Office Phone

Where did you hear about us? *

Privacy / Terms & Conditions

The following two boxes must be checked before your membership request can be processed.

I agree to the terms and conditions of the programme.

I have given Pan Pacific Singapore and PPHG's family of brands the permission to send any notice or communication addressed to me concerning hotel promotions, the programme and my account to any home or office address, email address, mobile phone, fascimile transmission details provided.

A verification email will be sent after submitting this enrolment form. Please click on the link for activation.