Order Form Utg English)

You might also like

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

UNITING THE GENERATIONS

Nationwide 40-Day Fast, Prayer & Charity 2010


ORDER FORM
To: NECF Malaysia Fax : 03-7729 1139
32 Jalan SS 2/103, 47300 Petaling Jaya, Selangor Tel : 03-7727 8227

Own Collection RM1.80 per set


West Malaysia - inclusive of postage RM2.10 per set
East Malaysia - inclusive of postage RM2.30 per set

Name of Church/Organisation:___________________________________________________
Name of Pastor/Elder/Leader/Person Incharge: ____________________________________
Delivery Address: (Not P.O.Box Address)
Street: ______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Postcode: ______________ Town: __________________ State: _____________________
TelO: __________________ Fax: ___________________ H/P: ________________________
Email: _______________________________________________________________________

Item No Description Quantity Unit Price Amt (RM)


UTG01 English
UTG02 Adult Chinese
UTG03 Version Bahasa Malaysia
UTG04 Tamil
UTG05 English
Children
UTG06 Chinese
Version
UTG07 Bahasa Malaysia

Total: Total Amt:

Date: ____________________ Signature: _________________________

Please make Cheque payable to NECF MALAYSIA


For Office Use Only
Amount : Cash/Cheque/MO :
______________ ______________
Receipt No. : Date payment received :
______________ ______________

You might also like