Application for Maxpoints card
Applicant's Full Name:*
CPR No: *
Occupation:
Martial Status : *	Married Single
Nationality:*
Sex:	Male Female
No of Dependents:
Banker:
Home Tel No:
Mobile No:
Work Tel No:
Fax No:
Mailing Address:
Email:*

For more details please contact 17207207 or mail to CrediMax P.O.Box 5350, Manama, Kingdom of Bahrain, or fax: 17214193 or e-mail us on maxpoint@credimax.com.bh