ORDER FORM

[list icon=”attention”]All monthly pass orders should be made 5 working days before the expiry date of an existing monthly pass.[/list][list icon=”attention”]The delivery will be made within 3 working days to the customer’s office.[/list][list icon=”attention”]All details MUST be filled in order to complete the order.[/list][list icon=”attention”]A delivery charge of RM1.00 per delivery will be charged.[/list][list icon=”attention”]The Company will call the customer in order to confirm the details given.[/list]




Name:

Handphone Number (Eg. : 0123636363)

Office Phone Number

Email Address:

Company Name

Address

Monthly Pass Area Shah Alam
Selayang
Kajang
Sepang

Car Registration Number (Eg. : ABC1234)

Monthly Pass Start Date (Eg. : 01/01/2016)


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