Enquiry & Order Form

MALAYSIA-INDUSTRY DOT-COM SDN BHD

8-2 & 8-2A, Jalan 9/125D, Taman Desa Petaling, 57100 Kuala Lumpur, Wilayah Persekutuan, Malaysia

Telephone: 603-90583718 Fax: 603-90580935 Email: top@mi.com.my Website: http://top.mi.com.my
TOP MBA Centre (P. J. Branch) E-8, 3rd Floor, Bangunan Khas, Jalan 8/1E, Section 8, 46050 Petaling Jaya, Selangor D.E.

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ENQUIRY / PURCHASE ORDER FORM

*Please complete the relevant fields in this form ( these fields must be completed)**
Date of Enquiry / Purchase Order : 14-11-2003

Section 1. ENQUIRER'S / PURCHASER'S DETAILS / COMPANY INFORMATION
Your Company Name :
Your Name :*
Company No./Reg No. :
Address : *
City/Town : *
State : *
Post Code : *
Country : *
Telephone : *
Fax :
Other No (H/P, Telex,Pager,etc.):
Company Website :
Company E-mail:
CEO/Director/Owner/Partner :
Contact Person :
Position of Contact Person :
E-mail of Contact Person :
Year of Incorporation :

Business Entity
Public Co.	Private Ltd.
Partnership	Sole Proprietorship
Association/NGOs/Club/Others	Government Bodies & Agencies

Nature of Business
Import	Chain/Dept Store
Export	Wholesale/Distributor
Manufacturing	Retail/Trading/Marketing
Direct Selling/Multi-Level	SOHO (Small Office Home Office)
Engineering/Construction	Services/Consultancy
Others (please specify):
Your Business Activities / Categories /Main Industry /Products or Services Description

Other Important Details ( Brands, Branches, Factory address, Other Persons to contact, etc.)

Section 2. DETAILS OF ENQUIRY / PURCHASE ORDER

Enquiry Purchase Order (Buyer/ Importer) *

Pick Item	Product Description/Services*	Qty	Unit Price (Currency)	Amount (Currency)		Tax (%)	Tax (Amt)	Unit Wt (Gm)	Total Wt (Gm)
Category : DIY ICT Solutions
	DIY PCs		RM 388.00			0.00		0.00
	DIY Practical Internet		RM 388.00			0.00		0.00
	DIY Virtual Expo (Integrated with DIY Web)		RM 500.00			0.00		0.00
	DIY WEB Development		RM 388.00			0.00		0.00
	Online Store		RM 250.00			0.00		0.00
Category : Malaysia-Industry Software
	Malaysia-Industry Accounting Software		RM 388.00			0.00		0.00
	Malaysia-Industry Clients'Account Software (For Law Firms)		RM 388.00			0.00		0.00
	Malaysia-Industry Inventory Software		RM 388.00			0.00		0.00
	Malaysia-Industry Payroll Software		RM 388.00			0.00		0.00
Category : Office Productivity Solutions
	OpenOffice.Org (compatible with Microsoft Office)		RM 388.00			0.00		0.00
	Practical Accounting		RM 388.00			0.00		0.00
	TOP Server		RM 3,888.00			0.00		0.00
	TOP Studio		RM 4,888.00			0.00		0.00
Category : Operating Systems
	Linux OS for Desktop Applications		RM 388.00			0.00		0.00
	Windows OS for Desktop Applications		RM 388.00			0.00		0.00
Category : Other Community Services
	FREE Classifieds Centre		Call for pricing			0.00		0.00
	FREE Directory Lisiting		Call for pricing			0.00		0.00
	FREE E-Cards Centre		Call for pricing			0.00		0.00
Category : Web Advertisement Solutions
	The Most Cost Effective Web Advertising Solutions.		RM 100.00			0.00		0.00
Total Amount :					RM
Add: Sales / Service Tax:					RM
Total Amount Including Tax:					RM

Delivery Time(Days) :
Method of Payment : If other method of payment, please specify:

Other Products or Services interested / confirmed to buy, or any other trade enquiry / information you wish to obtain or provide:

OTHER INFORMATION/COMMENTS
(Please include any additional information useful for this trade enquiry/purchase order)

* * Please make sure that you have selected all the products /services you wish to enquire or purchase before clicking the "Submit"* button. Otherwise, every additional Submission will be treated as a separate Enquiry or Purchase Order
DISCLAIMER CLAUSE : The information in this form is provided "As Is" without warranty of any kind. Malaysia-Industry Dot-Com Sdn Bhd (MIDC) made no representations about the suitability of the information contained in this form submitted to you. MIDC disclaim all warranties and conditions with regard to this information, including all implied warranties and conditions of merchantability, fitness for a particular purpose, title and non-infringement. In no event, shall MIDC be liable for any special indirect or consequential damages whatsoever resulting from loss of use, data or profit, whether in action or contract, negligence or other tortuous action, arising out of or in connection with the use or performance of information available from this form.

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