Purchase Order

Please print out this page to be filled out,
then fax it to : 603-78039003
Ordered By :

Date :

  
Address :
Zipcode :
Country :
Telephone :
Facsimile :
E-mail :
Item Code Number Quantity Price [ RM ]
 

 

 

 

      
   

Total :

  
Remarks : All sales are on CASH TERM ONLY. We will only attend to forms upon receiving orders by FAX ONLY.
Prices may change without prior notice, please confirm with management.