To transfer your Diners Card and to receive your discounted fees please complete this form,
print it out, sign it and either fax or post it to us as below.
Please note that your existing Diners Card number and account structure will not change.
Please Fax this form to 1300 139 556
Or
Post to your RCSA Member Benefits Representative at P.O. Box 2200 Mornington Vic 3931
Dear Sir/Madam
Re: Authority to Transfer Existing Diners Club Card
I hereby request you to transfer my exsiting Diners Club Card to the MEMBERBenefits Diners Club Card.
My details are as follows:
Name on Card
Card Number
My Phone Number
My Email Address
Thank you for your assistance
Yours Sincerely
——————————————————————(Signature)
Date Signed
All information will be treated in strictest confidence
