MSOF

50%

MSO Serial Number*
Masukkan HP524196_0001, HP532340_0004. Tukar nombor siri 0001 kepada 0002 untuk order seterusnya.
WAJIB PASTIKAN NOMBOR EJEN = 6 ANGKA, NOMBOR SIRI 4 ANGKA.
Customer Particulars
Full Name (As Per IC) (Max 35 Characters)*

Jika nama customer lebih daripada 35 askara, sambung di sebelah. Pastikan BIN dan BINTI dieja penuh seperti di Kad Pengenalan.
Full Name (Barisan Kedua Jika Lebih 35 Character)
New IC Number*
Date of Birth (DD/MM/YYYY)*
Installation Address*
Please use only 2 row to avoid address overflow in PDF SOF.
Postcode*
Tel (Mobile)*
Tel (Emergency)*
Order & Payment Information
Hidden
Mattress Model
Product Name*
Size King
- King
Size Queen
- Queen
Super Single
- Super Single
Package Mattress
- (MATTRESS ONLY)
Package Set
- (MATTRESS SET)
King Mattress
- King Mattress Only
Queen Mattress
- Queen Mattress Only
Single Mattress
- Single Mattress Only
Single Mattress & Frame
- Single Mattress Set
Queen Mattress & Frame
- Queen Mattress Set
King Mattress & Frame
- King Mattress Set
Mattress Type*
Package Set
- SOFT
Package Set
- FIRM
Promotion Code*
One off RM200 registration fee will be charged.
Rental Period (5 Years)
- 5
Rental Period (6 Years)
- 6
Rental Period (7 Years)
- 7
RPF RM200*
Rental Price (RM)
RM 0.00
Special Remarks
Hidden
Quantity Count*
Hidden
Kad Pengenalan
Hidden
Kad Bank
Customer Signature

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Customer Particulars