PrintPrint Order Form

 
Date: ________________



Malaysian Rubber Exchange
Malaysian Rubber Board
4th Floor, Bangunan Getah Asli (Menara)
148 Jalan Ampang
P. O. Box 10150
50908 Kuala Lumpur
Malaysia


Dear Sir,

Order Form for Malaysian Rubber Board
SMR 20 Price Chart (2003 - 2016)



Malaysian Rubber Board  SMR 20 Price Chart (2002 - 2015)
I/We wish to purchase .......... copy/copies of the SMR 20 price chart @ RM50 (Malaysia)/ US35 (Overseas) per copy as below:

Enclosed herewith is our cheque/bank draft No ............................. made in favour of the Malaysian Rubber Board for the amount of RM/US$ ............................. being payment for the aforesaid copy/copies.
 
Name of Company : .........................................................................
(please print)
Address : .........................................................................
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Tel No : .........................................................................
Fax No : .........................................................................
Email : .........................................................................
Date : .........................................................................
Name of Contact Person : .........................................................................