Gourmet Card Programme – Request for Update of Personal Particulars / Preferences

Full Name, Mr / Mrs / Ms / Dr / Prof (pls circle) Pls underline your surname / last name.
as per NRIC/Passport:
(required)

Gourmet Card No.:

Contact No. or Email:

(Required, so that we may contact you for clarification if required)

Please fill in below the particulars / preferences which you wish to update. Kindly allow us a few weeks from
receipt of your request for processing.

Address:
(Bldg No. & Name)

(Street)

(Unit No.)

(Postal Code) (Country)

Contact No.:
(Mobile) (Home/Office)

Email:

Date of Birth:
(dd) (mm) (yyyy)

Wedding Anniversary:
(dd) (mm) (yyyy)

Any Other Information:

Please tick in the box if you now wish to receive news and F&B promotional information from Goodwood Park Hotel,
if you had previously opted out.

Please tick in the box if you now do not wish to receive news and F&B promotional information from Goodwood
Park Hotel.

By signing and submitting this form, you consent to Goodwood Park Hotel (“Hotel”) collecting, using, disclosing and processing your
personal data (i) to update your personal particulars and preferences for the purposes of the Gourmet Card membership programme
(“GCMP”); (ii) for the purposes of offering you the services of the GCMP and communicating with you concerning the GCMP; (iii) for
purposes related to the administration and management of the GCMP; and (iv) to send you updates informing you of news and
promotions from the Hotel, where you have opted to receive the same. Your personal data will be used and retained in accordance
with the Hotel Personal Data Policy available at www.goodwoodparkhotel.com.

Date: Cardmember Signature:

Please send this form to: Gourmet Card Programme, Food & Beverage Department,
Goodwood Park Hotel, 22 Scotts Road, Singapore 228221
Or email the scanned copy of this form to: fb_sec@goodwoodparkhotel.com
For GWPH official use: Card No.:________________