"*" indicates required fields Step 1 of 2 50% For Internal Use OnlyCustomer Type* Individual Corporate SOF Generator*For Whatsapp/Walkin Customer, select Yes, no need to upload IC & Bank Card. Yes (WS/Walk In Customer) No (Online Customer) Order InformationPayment Method Rental Instalment Outright Total (RM) Order Quantity*1234567891015HiddenQuantity (Do Not Edit)*123456789HiddenTotal Rental (RM)HiddenRental Obligation Period (Years)* 3+2 5+0 6+0 7+0 Order Information (Rental)Rental Product*NEO PLUSAISCINNAMONCORE PLUSDAZZIE WHITEDAZZIE GRAYGLAZEHARRYINCEPTIONKECILLUCY PLUSOMBAKVILLAEM 2== AIR PURIFIER ==LOMBOK IIISTORM IINOBLETUBA== OTHERS ==COWAY OUTDOOR FILTERLILYFONTANABATERI BIDETMANUAL BIDETRental Obligation Period3+25+07+0Rental Promotion*COWAY FIESTA(EARLY) TRADE X5(SPC) TRADE X5(EARLY) TRADE X7(SPC) TRADE X7== 🛍️ 50% OFF ==HEBAT 7 - NEO PLUS (50% Discount)WOW 7 - NEO PLUS (50% Discount)WOW 5 - NEO PLUS (50% Discount)WOW 7 - KECIL (50% Discount)WOW 5 - KECIL (50% Discount)WOW 5 - VILLAEM 2 (50% DISCOUNT)WOW 5 - CORE PLUS (50% Discount)WOW 5 - OMBAKWOW 5 - GLAZEWOW 5 - AIS (50% Discount)WOW 7 - AIS (50% Discount)WOW 7 - LUCY PLUS (50% Discount)WOW 5 - STORM II (50% DISCOUNT)WOW 5 - LOMBOK 3 (50% DISCOUNT)WOW 5 - TUBA (50% DISCOUNT)WOW 5 - NOBLE (50% DISCOUNT)== 🥛 WOW WP ==HEBAT 7 - NEO PLUSWOW 7 - NEO PLUSWOW 5 - NEO PLUSWOW 7 - DAZZIEWOW 5 - DAZZIEWOW 7 - KECILWOW 5 - KECILWOW 7 - AISWOW 5 - AISWOW 7 - LUCY PLUS== WOW 5 ==WOW 5 - HARRYWOW 5 - CORE PLUSWOW 5 - VILLAEM 2== 🌪️ WOW AP ==WOW 7 - STORM II (2 MTH SRV)WOW 7 - STORM II (4 MTH SRV)WOW 5 - STORM II (2 MTH SRV)WOW 5 - STORM II (4 MTH SRV)WOW 5 - STORMCOWAY FIESTA - STORM II (4 MTH SRV)WOW 5 - LOMBOK 3WOW 5 - NOBLEWOW 5 - TUBAWOW 5 - BATERI BIDETWOW 5 - BAMBOO PLUSWOW 7 - BAMBOO PLUS== COMBO & ICARE ==COMBOCOMBO SPECIALWOW 5 - COWAY OUTDOOR FILTERWOW 7 - COWAY OUTDOOR FILTERWOW 5 - COWAY OUTDOOR FILTER (50% DISCOUNT)== JOM TUKAR ==JOM TUKARJOM TUKAR - NEO PLUS (7+0 4 MTH SRV)JOM TUKAR - DAZZIEJOM TUKAR - VILLAEM 2JOM TUKAR - CORE PLUSJOM TUKAR - OMBAKJOM TUKAR - INCEPTIONJOM TUKAR - LUCY PLUSJOM TUKAR - AISTRADE X5 Promotion*AISCINNAMONKECILNEO PLUSGLAZEVILLAEM 2HARRYCORE PLUSOMBAKINCEPTIONLUCY PLUSSTORM 2LOMBOK 3TUBADAZZIE (4 MTH SRV)NOBLE (4 MTH SRV)STORM 2 (4 MTH SRV)TRADE X7 Promotion*AISNEO PLUSNEO PLUS (4 MTH SRV)VILLAEM 2CORE PLUSOMBAKDAZZIE (4 MTH SRV)Combo Product+ STORM+ LOMBOK 3+ BAMBOO PLUSOld Sales Order Form (SOF) No For Early Extrade Acknowledgement LetterOld Appliances For Early Extrade Acknowledgement LetterSpecial RemarksFor 2024 Super Crazy Promotion, please add (50% Discount). For Extrade, please add OLD ORDER NO: XXXXXX For Extrade SPC, please add (50% Discount) OLD ORDER NO: XXXXXX Order Information (Outright)Total Outright (RM)Outright Product*VILLAEM 2CORE PLUSNEO PLUSCINNAMONGLAZEOMBAKKECILINCEPTIONLUCYHARRYFERRYMATE== AIR PURIFIER ==LOMBOK 3STORMCAPTAINBREEZETUBA== OTHERS ==BAMBOOLILYFONTANAOutright Promotion*NO PROMOTION1+1 PROMOTIONJOMTUKAR PROMOTIONPREMIUM OUTRIGHT: FREE NEOFLAM SETPlease choose "NO PROMOTION" for Glaze, Kecil & Lombok 3.Generate MOTO IPP Form? Yes, Generate MOTO MOTO IPP FormHiddenDate* DD slash MM slash YYYY SOF Number* Cardholder Name* For debit card, please enter full name as per IC.Card Number (XXXX-XXXX-XXXX-XXXX)* Card Expiry Date (MMYY)* Bank Name* Installment Period* Card Type* Visa Master HP SignatureAgent ParticularsSOF Serial Number* Agent Name* Agent Code* Agent Email Customer ParticularsFull Name (As Per NRIC/SSM)* New IC/SSM Number* Date of Birth (DD/MM/YYYY)* Title / Gender* Mr / Male Mrs / Female Race* Malay Indian Chinese Others Installation Address (With City & State)*Postcode* Phone (Mobile)* Phone (Alt./Home)* Customer Email* Corporate DetailsBilling Address*Please mention "SAME AS ABOVE" if both address same.SAME AS ABOVEPhone (Office)* Billing/Finance Email* Billing Contact Name* Contact Name Designation* Directors Name & Designation* Card Authorization (Rental)NRIC/Passport (Front Copy)* Debit/Credit Card (Front Copy)* Cardholder Name Direct Debit, Same as Full Name Cardholder Name* Bank Name* Card No* Expiry Card (MM/YY)* Monthly Rental Fee Customer Signature*Remarks EmailThis field is for validation purposes and should be left unchanged.