BATA GIFT VOUCHERS PURCHASE ORDER FORM

To: Munerahbibi / Angela Kwek

Tel: 6334 9760 / 6334 9786
Fax: 6337 3000
Address: 111 North Bridge Road, #19-02/03 Peninsula Plaza S(179098)
Email: munerahbibi@bata.com / angela.kwek@bata.com

* Pls call after you have sent the order form

Name of Company:

Address:
Contact (Name & Designation):
Tel No.:
Fax No:
Email address:
Date of Order:
Denominations Qty (pcs) Total Value ($)
$10 Voucher
$20 Voucher
CORPORATE Vouchers Required:
$30 Voucher
$50 Voucher
Grand Total:
Number of envelopes required:
Date of Delivery / Self-Collection
(5 working days upon receiving PO)
Remarks: Free Delivery only for
$5000 & above
ALL Vouchers are valid for 1 year from Date of Issue
For cheque payment, please issue the cheque to " Bata Shoe (Singapore) Pte Ltd ", payment has to be
received before sending the vouchers.
Payment mode: Cash / NETS / Bank transfer / Credit Cards / E-Invoice

Confirmed by:

Signature, Name & Designation (Company Stamp) Date

FOR OFFICIAL USE

Invoice No: Collection Venue:
Person-in-charge: Payment mode:

Bata Shoe (Singapore) Pte Ltd | 111 North Bridge Road | #19-02/03 Peninsula Plaza | Singapore 179098 | Phone:+65 6339 7000 | Fax:+65 6337 3000 | Web: www.bata.com | Co. Reg. No. 193100019E