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POS Systems Registration Form – 24 month instalment

Business Details

Business Name *
Business Registration Number *
SSM Registration Number
Business Type *
Business Category *
Phone Number *
Registered Address *
Please include your city, state and postcode

Business Owner Infomation

Name *
Malaysian Identify Card Number *
Address *
Please include your city, state and postcode
Phone *
Email *

Emergency Contact

Name *
Phone *
Relationship *

Required Document

Identity Card (Business Owner) *
Maximum file size: 10 MB
(Front & Back)
Business Certificate *
Maximum file size: 50 MB
SSM

Package

POS Systems *

1 + 3 Months Deposit (Starter Package)

Price: RM 796.00

Deposit will be refund on month 25

1 + 3 Months Deposit (Advance Package)

Price: RM 1,196.00

Deposit will be refund on month 25

Add-on Hardware
Add-on Software
VIP Support Package - RM149/month *
Suggested Installation Date *
Installation & Delivery method *

Agrement & Documentation Fee

Price: RM 150.00

TOTAL PAYMENT FOR THE FIRST MONTH
RM  
0.00

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