New Change Request Form - Update - 021219

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Amway Philippines, L.L.

C
4th Floor Kentek Building, 828 Antonio Arnaiz Ave.,
San Lorenzo Village, Makati City 1223 Philippines
Tel. No. (632) 635-1815 Fax No. 812-4184
AMWAY BUSINESS OWNER CHANGE REQUEST
INSTRUCTIONS: Please type or print clearly.
Please sign and attach valid ID before submission.

ABO Number ABO Name

Correction of Name

Surname First Name Middle Name

Change of Address

House no./Unit/Block # Street/Subd. Barangay

City/Municipality Province

Preferred type of Communication

_________________________ ______________________ ___________________________


Mobile No. Telephone No. Email Address

Occupation/TIN Number

_________________________ ______________________ ______________________ ______________________


Main Applicant Occupation TIN Number Co – Applicant Occupation TIN Number

Correction of Birth Date

____________________ ___________________
Applicant 1 Applicant 2

Addition of Co- Applicant


(Required to submit valid ID and Marriage certificate of Husband and Wife)

Surname First Name Middle Name

_________________________ ___________________________
Relation to the Main Applicant Co-Applicant Birth Date

Bank Account Registration *Checks are no longer issued Savings Checking


Account name should be main applicant and if Corporation account, must be under the corporation name.

BANK
_______________________________ ____________________________ __________________________
Bank Name Account Number Account Name
GCASH
_______________________________ ___________________________
Globe/TM Mobile Number Name
Required to submit photocopy of valid ID and passbook/Withdrawal or Deposit Slip (for Bank)

By providing personal information and signing this change request form, I acknowledge receipt of the Amway Privacy Notice for
Amway Business Owners and Members (accessible here: https://www.amwayglobal.com/privacy-notice/philippines/#abo) which
contains details about the processing of my personal information. You may also request a copy of this Amway Privacy Notice by
contacting us at [email protected]

_______________________________ _______________________________ _______________


Main Applicant Signature over Printed Name Co – Applicant Signature over Printed Name Date

For Amway Use Only


Received by: ______________________________ Date: _________________________

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