A | B | C | D | E | F | G | H | I | J | K | L | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | PRISMARA SDN BHD (289012-H) | |||||||||||
2 | No. 30, Jalan Melati 3/3, Bandar Malawati, 458000 Kuala Selangor, Selangor | |||||||||||
3 | ||||||||||||
4 | Head Office: No. 24, Lengkongan Melikai, Kaw. 8, Kampung Raja Uda, | |||||||||||
5 | 42000 Port Klang, Selangor Darul Ehsan, Malaysia. | |||||||||||
6 | Vehicle Sales Order | Tel : 03-31659868 Fax : 03-31669880 | ||||||||||
7 | NO. VSO | |||||||||||
8 | Customer Account No. & Name : | FINANCE SOURCE | Dealer Code : | VSO Date : | ||||||||
9 | Finance Company | EXT VSO No : | ||||||||||
10 | Branch Address | |||||||||||
11 | Loan RM : | |||||||||||
12 | ||||||||||||
13 | Model Code/Description : | Period : | Sales Rep's Code & Name : | |||||||||
14 | NRIC : | Colour : | ||||||||||
15 | Tel : | Year Make : | ||||||||||
16 | ||||||||||||
17 | RM | |||||||||||
18 | Govt. Approved Net Selling Price inclusive of | Make | Description | c.c. | ||||||||
19 | Approved Standard Accessories | |||||||||||
20 | Excise Duty | Chasis No. | Engine No. | |||||||||
21 | Sales Tax | |||||||||||
22 | Sub Total (Sales Price) | A | Registration No. | Registration Date | Year of Manufacture | |||||||
23 | ||||||||||||
24 | Registration/Transfer Fee | |||||||||||
25 | Road Tax | Trade-In Valuation | ||||||||||
26 | Carrier Licence Fee | Less : HP Balance Owing | ||||||||||
27 | Weighing/Inspection Fee | Net Allowance For Trade-In | ||||||||||
28 | HP/ Co. Ownership Claim Fee | CUSTOMER PROFILE | ||||||||||
29 | Number Plate | Employer's Name & Address | Marital Status | : | ||||||||
30 | Metallic Paint | Sex | : | |||||||||
31 | Optional Package | Race | : | |||||||||
32 | Literacy | : | ||||||||||
33 | Occupation | : | ||||||||||
34 | Previous Car | : | ||||||||||
35 | Sub Total | B | 0.00 | Income Group | : | |||||||
36 | Telephone : | Age Group | : | |||||||||
37 | Insurance Premium | C | PRICE SUBJECT TO CHANGE | |||||||||
38 | WITHOUT PRIOR NOTICE | |||||||||||
39 | (Insured Value RM | ) | PAYMENT DUE FROM/TO CUSTOMER/FINANCE SOURCE | |||||||||
40 | Total Sales Price | |||||||||||
41 | Booking Fee ( | ) | ||||||||||
42 | Insurance Company | Net Allowance For Trade-In | ||||||||||
43 | ||||||||||||
44 | Cover Note No. | NCB | % | |||||||||
45 | Total Amount | |||||||||||
46 | Balance Customer | |||||||||||
47 | ||||||||||||
48 | Total Sales Price (A+B+C) | 0.00 | Balance Finance | |||||||||
49 | ||||||||||||
50 | Please Note : | |||||||||||
51 | All cheque should be made payable to Prismara Sdn. Bhd. and crossed "Not Negotiable". If any payment to the Company is made by CASH, then insist on an | |||||||||||
52 | Official Receipt immediately. Upon any payment to the Company, you should insist on an Official Receipt and if you have not receive any Official Receipt within 7 days of | |||||||||||
53 | payment, please notify the Head Office Accounts Department at Tel: 04-282 9000 immediately. | |||||||||||
54 | AGREEMENT: I, the undersigned, hereby agree to purchase from you the above-mentioned vehicle and accessories at the prices shown above subject to the terms and | |||||||||||
55 | conditions printed overleaf and which terms and conditions I have read and confirmed that I am agreeable to. I have paid a deposit of RM | vide | ||||||||||
56 | No. which is to my knowledge neither refundable nor transferable in accordance to condition 2 overleaf. I hereby acknowledge and accept that delivery | |||||||||||
57 | of the vehicle is in or about the month of | |||||||||||
58 | ||||||||||||
59 | ||||||||||||
60 | Customer | Sales Representative | Accepted by | |||||||||
61 | Date | Date | Date | |||||||||
62 | For Prismara Sdn. Bhd. | |||||||||||
63 | Official Receipt No. | RM | ||||||||||
64 | ||||||||||||
65 |