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MALAYSIAN STANDARD (MS) ORDER FORM

Date :
Name :
Organisation :
Mailing address :

Email address :
Phone no. : Fax no. :

Order list :

Amount TC/WG
No. MS No. MS Title Unit
(RM) (for office use)

Total

Quotation required : Yes No

Preferred payment : Cash Credit/Debit card EFT*


type
Cash deposit* Cheque* Purchase order*

* Payment shall be made out into the following account:-


Account name : Institut Kimia Malaysia Account no. : 3127 7310 17
Bank name : Public Bank Berhad Swift code : PBB EMYKL
Bank address : 66, 68 & 70, Jalan Burhanuddin Helmi, Taman Tun Dr. Ismail, 60000 Kuala Lumpur

Delivery type : Collection at IKM’s office Courier


(Courier surcharge shall be borne by
the purchaser)

For office use only

Quotation/Invoice/Receipt no. :
Payment status & date :
Remarks :

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