| Recipient Name: | |
Contact Number: |
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Email Address: |
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Car Branding: |
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Crystal Color* / Solid Metallic: |
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Color Serial Number |
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Please refer to our FAQ Help Centre if your color code doesn't match ours. |
Collecting Method : |
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Delivery Address for Pos Laju: |
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Quantity |
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Total Banked in Amount: |
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Banked in to: |
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For E-Banking: Account Name |
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For Manual Banked in: Date & Time According to the receipt |
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Remarks : |
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Remarks example, Self collect date and time. |
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