IMPORTANT NOTE: SUSTAGEN)) SUSTAGEN CLUB GIFT Getrredemtion together with other &= Club members when seni in their REDEMPTION PROGRAM it parts/whole of the package are lost intransit 2. De not send original form if order has been submitted via fax, 1, FULL NAME (as per .C.)/ #4 (5 HAF) /Nama (seperti dalam K.P) 2. NRIC NO./Sfh1E § B3/Nombor K.P. Please do not eave blank/ BH F@H/Jangan Unagalkan petakkosong 3. MEMBERSHIP NO/2251-344/No. Ahi 4, DELIVERY ADDRESS (someone is available to receive the gift; Non P.O. Box address)/iS f+iBiESbiE (HE A BIREHRMLERA + #EHDELRAEP.O. BoxtBil/Alamat Penghantaran (sentiasa ada orang sedla untuk menerima bungkusan; Bukan alamat PO, Box) POSTCODE/ISEMS/Poskod 5. EMAIL FRBAREMEL 6 Handphone/-=48H1i8 Telefon Bimbit TEL (Office/ds4A 8 /Pejabat) (Ext 858 #88/Talian Sambungan) Please indicate your redemption order/i##A5 LA Fi] #/Sila nyatakan penebusan anda TEM No. | POWWTS NEEDED [ORDER QUANTITY] TOTAL POINTS REQUIRED No PRODUCT DESCRIPTION/7*i/PRODUK ee | sims Mata| | seseata FRaoR Nombor eoduk | yang aperukan | Kuan ipesan | Jumlah Mats yang deukan 1 2 3 4 5 Note: Redemption items wil b ty ne ‘of items TOTAL/#3.5}/JUMLAH MATA: fit MIRE PM im AK ey ATE OLE IIE. Note: Fred ang ron cabs san draenei maa Kit yang ipo TAGES EERE waa | TANT [exam PSEC] [ ewe deat pots rom my Redemption Ky Ponte rll estan VER, | anti ESSE | mean sie a ma car ys Sia 650g (Barcode) 1.3kg Barcode) OCS a igre SUB TOTAL/SS)/JUMLAH KECIL: SS | (TSR MTERER ones For Normal Ma For Registered Mal, Poa a Sustagen Club Malaysia ‘Sustagen Club Brunei Sustagen Club P.O, Box 8041 Pejabat Poe Kelana Jay, fo OKSH @ Sh Bh Mead Johnson Nutrition (M) Sdn ha 780 Petaling Jaya, Selangor DE, Malays, P.O. Box 347, 88 BSB670, Grunl Darussalam, Lovel 17, Menara 1 Serum, ————eeereereseveovwermnaws No, 201, Jalan Tun Sambanthan, Freephone : 1-800-88-3535 $0470 Kala Lumpur, Malaysia, (Mon ~ Sat, 9.00am - 5.30pm)