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Order Form DRIMS TRADING SDN. BHD. ( No. 730943 P ) No 19 Jalan Sukarela Taman Dato Onn, 80350 Johor Bahru, Johor, Malaysia. Tel /Fax : 07-2210332/ 07- 5543430/ 019-7267803/ 012-7072204 E-mail : info@ismailclamp.com
Date : 004/09
ORDER FORM
Name:
Organization/Clinic : .
Address: .
.
.
Tel : . Fax : .
H/Phone : . e-mail : ...
.. Signature & Clinic Cop
Ismail Clamp size 13 16 19 22 Total
Quantity (boxes) . . . Prices ( B4 discount) . . . . Prices (after discount) . . . . .
For prices Please refer to back page of this order form
Lead time 5 working days
If urgent, please bank in to DRIMS TRADING SDN BHD MBB No 501253123813 Attach bank in slip and fax to 07-234 9154. For KL resident call En Mahmood 017-3365966
Cheque particulars: Please cop clinic particulars at back of cheque
Date : Bank & Cheque no.
RM :
PRICES
1. Only sizes 13,16 ,19 & 22 are currently available. You will be informed when the other sizes (10,25,29 & 33) are available Sizes 13 & 16 8 clamps per box 19 & 22 4 clamps per box
2. Prices of Ismail Clamp sizes 13 & 16 RM 35.00 per clamp RM 280.00 per box of 8 clamps sizes 19 & 22 RM 40.00 per clamp RM 160.00 per box of 4 clamps 3. Minimum order 1 box
4. Free Delivery for orders exceeding RM 500.00 (B4 discount) For orders below RM 500.00 (B4 discount) please add RM 40.00 for delivery charges
5. All order must be accompanied by a cheque (payable to DRIMS TRADING SDN BHD MBB 501253123813) a. up to RM 1000.00 (B4 discount) i. Post dated Checque - 2 months at RM 280.00 per box of 8 clamps (sizes 13 & 16) RM 160.00 per box of 4 clamps (sizes 19 & 22) ii. Current Checque 10 % discount at RM 252.00 per box of 8 clamps (sizes 13 & 16) at RM 144.00 per box of 4 clamps (sizes 19 & 22) b. RM 1001.00 to RM 4000.00 (B4 discount) Current Checque only 15 % discount at RM 238.00 per box of 8 clamps (sizes 13 & 16) at RM 136.00 per box of 4 clamps (sizes 19 & 22 ) c > RM 4001.00 (B4 discount) Current cheque only 20 % discount at RM 224.00 per box of 8 clamps (sizes 13 & 16) at RM 128.00 per box of 4 clamps (sizes 19 & 22)
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Fill and Print this order form and mail or fax/transaction slip/to No 19 Jalan Sukarela Taman Dato Onn, 80350 Johor Bahru, Johor, Malaysia. Tel /Fax : 07-2210332/ 07- 5543430/ 019-7267803/ 012-7072204 E-mail : info@ismailclamp.com
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