SM Advantage Card Online Membership Application Form

Please fill out the form below. Asterisk (*) indicates required field.
Note: To qualify for membership, you must be at least 18 years old.
Upon successful application and payment of membership fee, you may claim your personalized SMAC at the Customer Service Counter of any branch of The SM Store.


   PERSONAL INFORMATION
*Last Name:
*First Name:
Middle Initial:  
*Birthdate: - - MM / DD / YYYY
*Gender: Female            Male
*Email Address:
This will be used as your username
*Confirm Email Address:
*Password:
Password Strength:
Weak
Minimum of 6, maximum of 15 characters
*Confirm Password:
*Citizenship: Filipino        Alien
*Civil Status: Single         Married
 

Widow/      Separated/

    Widower         Divorced

*Mobile No.: -
e.g. 0917-1234567
Landline No.: -
(area code)           (landline number)
e.g. 02-1234567
Mailing Address  
*Number/Street:
*Building/Village:
*City/Municipality:
Province:
   
Postal/Zip Code:
Monthly Income Bracket:
  Less than P6,000 P6,001 - P10,000 P10,001 - P20,000 P20,001 - P40,000
  P40,001 - P60,000 P60,001 - P80,000 P80,001 - P100,000 More than P100,000
TIN:  
No. of Children:
  None            1            2            3            4 or more
Home Ownership:
  Owned, not Mortgaged            Rented            Owned, Mortgaged            Living with Parents or Relatives
Do you or your family own a car?
  Yes            No
I hereby certify that all information in this membership application form is true and correct.
    I understand that a replacement card fee will be charged if I should have any change/s after my submission of this
    membership application form.
I accept the terms and conditions.
 
*Security Code: