Change Mode of Payment

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Date : _____________________________

To : Woongjin Coway (Malaysia) Sdn. Bhd. (Formerly known as Coway (M) Sdn. Bhd.)

Changing the Mode of Payment

Kindly be informed that I / We would like to convert our mode of payment as below:-

Customer Name : _____________________________________________________

NRIC No. / Company No. / Business Registration No. : ______________________________

Current Payment Mode : Regular Payment / Direct Debit / Credit Card Auto Debit

Current Payment Mode Bank Name : ________________________________________________

Current Payment Mode Bank Account / Credit Card No. : ______________________________

New Payment Mode : Regular Payment / Direct Debit / Credit Card Auto Debit

New Payment Mode Bank Name : ________________________________________________

New Payment Mode Bank Account / Credit Card No. : ______________________________

Your prompt action on this matter is highly appreciated.

Thank you.

Yours sincerely,

____________________________

Name : ____________________________

Contact No. : ____________________________

Order No. : ____________________________

Company Stamp :
(For corporate only)

Woongjin Coway (Malaysia) Sdn. Bhd. (735420-H) (AJL931694) Page 1 of 1 PAYMODE/S&P/V201908


(Formerly known as Coway (M) Sdn. Bhd.) PRIVATE & CONFIDENTIAL

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