Purchase Oder Form

Example-2

(Company Logo)

10-2, Plaza Crystalville II, Jalan 22A/70A, Desa Sri Hartamas,

50480 Kuala Lumpur, Malaysia.

Telephone +603-6203 2892, 2894 Facsimile +603-6203 2825

Email support@mywill.com.my 

______________________________________________________________________________________________

MYWILL PURCHASE ORDER FORM

Kindly complete the below purchase order form and fax/e-mail to us at the address

stated above.

Name              :_________________________________  Date:__________________

Address         :________________________________________________________

                        _________________________________________________________

Tel                  :_________________________

Fax                 :_________________________

E-mail            :_________________________

I / We would like to confirm our order as follows:

No	Description	Unit Price (RM)	Quantity	Extended Price (RM)
1	MyWill Interactive Software (new purchases) - come with 1st year licence	350.00
2	MyWill Interactive Software (Upgrade) - Upgrade from MyWill Version 2 - Please specify your MyWill Ver2 Serial No.:____________________	200.00
3	MyWill Interactive Licence Renewal year - 1 YEAR Licence Renewal - Please specify your MyWill Interactive Serial No.:______________________	200.00
Grand Total

Payment Details

Kindly select either one of the option below:

[ ]         Cheque No. ________________________ (kindly issue cheque made payable to Quality Credentials Sdn Bhd) For faster processing, Kindly bank-in cash/cheque to our accounts below and follow up by faxing in your bank-in slip with this form. Account Name: Quality Credentials Sdn Bhd Bank Name: Alliance Bank Malaysia Berhad Ac No. : 14176-0-01-000371-4

Ordered by:

Signature          : _______________________

Name               : __________________________________________

Date                 :________________________