APPLICATION FOR CARD REPLACEMENT- FAMILY/INDIVIDUAL MEMBERSHIP CARDS
Notes:
1. This form is only applicable for replacement of Family/Individual Membership Card(s)
2. Card replacement fee of S$21.40 will apply
3. Card replacement can be made at the following locations:
• Visitor Service Booth at Jurong Bird Park
• Visitor Services Booth at River Safari
• Membership Services Centre at Singapore Zoo
Operating hours: Daily from 9am to 6pm
Part 1: Cardholder Particulars
Salutation:
Mr / Mrs / Ms / Dr
First Name:
(Given Name)
Last Name:
(Family Name)
IC / Passport no.:
Date of Birth:
Email:
Contact no.:
Part 2: Lost Card Details
Type of Card
:
Feather Friends (Jurong Bird Park)
Friends of Night Safari (Night Safari)
Friends of River Safari (River Safari)
Friends of the Zoo (Singapore Zoo)
20 Digit Card No. :
(Barcode No. on
reverse of card)
Part 3: Reason for Card Replacement
€ Replace Lost Card
€ Others (Please specify reason):
_____________________________________________________________________________
_____________________________________________________________________________
Part 4: Declaration of Lost Card
I hereby request for a card replacement and understand that once the card is replaced (upon date of
submission), this action is irreversible. A card replacement fee of S$21.40 will apply for family/individual
membership card(s). I acknowledge that WRS reserves the rights to reject any application should there
be any false declarations made.
Name
:__________________________
Date
:__________________________
For Official Use Only
Receipt No:
Remarks:
Signature
:__________________________