Order Form For existing clients only

Customer number*

Customer Company*

Name *Mr / Ms

Contact No.*

Email Address*

Preferred mode of contact*
PhoneEmail

*An email order acknowledgement will be forwarded to your specified email, within 30mins upon submission of order request form, for your confirmation. Please acknowledge for us to proceed with production / delivery*

*Our sales personnel will contact you via Phone number you have specified in the form. Please standby for our call for us to re-confirm your order*

*Leave blank if you wish to order via email/phone. Our sales personnel will contact you (via Preferred mode of contact) within 30mins upon submission*

Order form Brand / Model / Description / Quantity

Message request