ACCESS TO PERSONAL INFORMATION

Full Name:


Email Address:


Postal Address:


Contact Number:


Nature of Request:


Attach Proof of Identity & Address:

DECLARATION:

I confirm that the information provided is true and accurate.
I understand that it is an offense to provide false information in order to obtain data to which I am not entitled.

Full Name:


Email Address:


Postal Address:


Contact Number:


Loyalty Card Number:


CHANGE OF LOYALTY PROGRAMME OPT-IN SETTINGS:

I choose to receive information on offers from Anthony Ryans
(Please tick as appropriate)

Post
Email
Phone
SMS

CANCELATION OF LOYALTY PROGRAMME MEMBERSHIP:

Please cancel my membership of the Anthony Ryans loyalty programme.(OPT-OUT)