$500
$500
free credit
free credit
Enroll a friend in
Ja m a ic a AutoC lub ® a nd ...
See instructions below
$500
free credit
$500
free credit
INSTRUCTIONS
Choose Option A or B then follow guidelines for payment of membership fee.
OPTION A: Call our Member Care Centre
1.
2.
Call 754-3256 and
Provide the details requested on this Membership Referral Form (see reverse).
OPTION B: Fax or Mail Us the Completed Form
1.
Fill Out this Membership Referral Form
•
The gray area labeled “Referrer’s Information” should be completed by you, the Jamaica AutoClub member.
•
The other section of the form labeled “Membership Referral Form” should be completed by your friend who wishes to pay to
become a Jamaica AutoClub member.
2.
Send this Form to the Jamaica AutoClub
•
Fax to: 754-0724 or
•
Mail to: P.O. Box 3139, Kingston 8
PAYMENT INSTRUCTIONS: Pay Membership Fee to Receive $500 Credit to Cellphone
•
•
•
•
Membership Fee costs $2912.50 (tax included)
Pay via Credit Card via Telephone (Call 754-3256) or
Deposit at any Scotiabank to Account#749018 (New Kingston)
$500 Credit will automatically be sent to cellphone number provided on the form on completion of transaction.
Jamaica AutoClub Membership
Terms and Conditions
(Revision 1.1)
General
1.1 This agreement governs the benefit provisions and services of Jamaica AutoClub (“JAC®”) and the services provided on Jamaica AutoClub’s website (the “Website”).
1.2 JAC® reserves the right, in its discretion, to change or modify all or any part of this Agreement at any time, effective immediately upon notice published on the Website.
Your continued use of the Service constitutes your binding acceptance of these terms and conditions, including any changes or modifications made by JAC® as permitted
above. If at any time the terms and conditions of this Agreement are no longer acceptable to you, you should immediately discontinue membership.
Conditions of Service
2.1 JAC® Membership Benefits provided to active (i.e. non-expired) members only.
2.2 JAC® offers Roadside Response Service to vehicles with laden weight not exceeding 2000kg.
2.3 Roadside Response Service limited to accident\ breakdowns that occur on the main arterial roads of Jamaica. Use of JAC® towing service is free of charge with a limit of
$5000 maximum, within the membership year. Members benefit from JAC® discounts on towing services throughout membership year.
2.4 Discounts require membership card to be presented.
2.5 Services may not be rendered in event of natural disaster such as flood rains, upheavals such as riots and road blockages or high-risk violent prone areas.
Disclaimer
3.1 JAC® bears no liability for services rendered by third party service providers.
3.2 JAC® delivers reminder messages via various mobile network carriers and cannot therefore guarantee delivery of a reminder message.
3.3 JAC® makes every effort to deliver the message promptly, but cannot accept any liability for transmission delays or message failures.
For complete and up-to-date Terms and Conditions visit our website at www.jamaicaautoclub.com
Jamaica AutoClub®
The motorist’s dream™
$500 fre e c re d it
BONUS!!
Get $500 free credit topped up to
your mobile phone once you sign up
a friend to the Jamaica AutoClub
insura nc e b e ne fits
d isc o unts
isla nd w id e
Get 10% off your car insurance from
leading insurance providers
Receive exclusive discounts and
savings from a variety of stores
islandwide.
re mind e r se rvic e
o ve rse a s
tra ve l b e ne fits
Reminds you to renew your vehicle
document before they expire
Reduced rates at over 4,000
hotels and rent-a-car companies
ro a d sid e a ssista nc e
d o c ume nt
re ne w a l se rvic e
We will help jump-start your vehicle,
change your flat tyre, pickup petrol,
tow your vehicle to safety and more
We visit the tax office on your
behalf to renew your motor
vehicle documents
REFERER’S INFORMATION
MEMBER
Name
BMOBILE
DIGICEL
MIPHONE
Membership Card No.
Mobile No. to Send Credit
MEMBERSHIP REFERRAL FORM
FOR YOUR REMINDER SERVICE:
1. Name _____________________________________________________
FIRST NAME
2. Gender
Male
MIDDLE INITIAL
Female
brought to you by
LAST NAME
3. Date of Birth _______ / _______ / __________
DAY
MONTH
YEAR
4. Address _____________________________________________________
____________________________________________________________
12. EXPIRY DATES FOR:
Drivers License _________________________
DAY
8. Make of Vehicle_____________________ Model______________________
e.g. TOYOTA
DAY
e.g. 2000
e.g. 1234 AB
11. Current Insurer
AGI
BCIC
ICWI
NEM
Other ________________
formerly UGI
OFFICIAL USE ONLY
Sales ID
Processing
CALL 876 754 3256 |
SL
RM
CD
MONTH
YEAR
Insurance Certificate _____________________
DAY
MONTH
YEAR
Certificate of Fitness _____________________
DAY
e.g. COROLLA
9. Registration Plate# _______________________ 10. Year_________________
YEAR
Registration Certificate ___________________
5. Telephone _______________________ 6. Cell________________________
7. Email _______________________________________________________
MONTH
MONTH
YEAR
AutoClub®
I hereby apply for Jamaica
membership, and
agree with the Terms and Conditions outlined on reverse.
13. Applicant Signature ______________________
14.
Paid $2,912.50 Date_______________
(TAX INCLUDED)
DAY MONTH YEAR
DAY ON REVERSE
MONTH
YEAR
SEE PAYMENT INSTRUCTIONS
FAX 876 754 0724 | M AIL P.O . BO X 3139, KING STO N 8, JAMAIC A