Order Form
Fax to: 03-7958 8522 •www.noel.com.my
• Please provide e-mail address for promotion announcements.
• Please complete the details as indicated in block letters or type.
• Please DO NOT print this order form.
• If you wish to fax this order form, please download the form here or the link above.
Customer No :
Personal
Company
Attention :
Noel Hampers & Gifts (KL) Sdn Bhd
(Company no.: 225300-x)
Lot 1, 2nd Floor, Right Wing, Infinite Centre,
Jalan 13/6, 46200 Petaling Jaya.
Tel. Hotline: 03-7958 5123 / 7955 3399
Date of Order :
No of Pages :
Name * :
IC No :
E-mail :
Address * :
Company Name & Address :
Telephone (O) :
Telephone (H) :
Telephone (HP) * :
Fax :
Contact Person :
Signature :
Payment Instructions
Total amount of Purchase (RM) :
To be paid by * :
Cheque
Cash
Visa
MasterCard
American Express
If payment by card,
Card No :
Expiry Date :
Date of Order :
Cardmember's Name :
.
.
.
Note
• Thank you for your order. We assure you of our best servce at all times.
• Please do not send cash; payment should be made in person to an authorized Noel employee who carries an
official Noel receipt. All cheques / money orders should be crossed made payable to NOEL HAMPERS & GIFTS
(KL) SDN BHD
• We reserve the right to replace any item with another of equivalent value depending on availability without
notifying the customers.
• There will be a 50% surcharge for cancellation of orders.
• Amendments / Changes are not allowed after order confirmation.
Copyright Noel Hamper & Gifts (KL) Sdn Bhd. All rights reserved. No portion of this publication may be produced in any form or means, graphics, electronic, mechanical, photography, recording, taping, etc. without the prior consent of the publisher. Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.