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ORDER FORM
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TYPE OF CUSTOMER:
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New customer
Existing customer
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FULL NAME (as per I/C):
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E-MAIL:
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CONTACT NO:
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DELIVERY ADDRESS:
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ORDER DESCRIPTIONS:
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1)Code:
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2)Item type:
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3)Quantity (pcs):
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4)Remark (if any):
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DELIVERY VIA:
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PosLaju
Pos Register
Pos Express (not recommended-customer bear the risk)
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PAYMENT TYPE:
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Cash Deposit Machine (CDM*Bank-in)
Transfer Fund (Internet Banking)
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EXPECTED PAYMENT DATE (dd/mm/yy):
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IF PAYMENT MADE BEFORE ORDERING FORM:
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1)Payment Center(Bank)/Location:
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2)ATM SEQ NO.(Transaction/Receipt no.):
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3)Amount RM:
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*** PAYMENT MUST BE DONE WITHIN 24 HOURS AFTER FORM SUBMISSION ***
#### We seek your co-operation to inform us immediately after payment done via Calls, E-mail or Instant Message (YM) A.S.A.P. ####
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