PAYMENT DETAILCheque

*All cheque payments must be crossed and made payable to DQBP SDN BHD

Bank:

Cheque no:

or Bank in

Bank: ALLIANCE BANK

Bank account holder: DQBP SDN BHD

Bank account no: 141940010049511

For direct bank in, please enclose bank in slip with this subscription form

Please do not enclose cash

Official receipt will be emailed to subscriber within 6 - 8 weeks

Signature:

STEP 3

YES! I WOULD LIKE WHEELS WEEKLY DELIVERED FOR

MY DETAILS

52 issues for RM202.80 (West Malaysia)

104 issues for RM405.60 (West Malaysia)

Mr/Ms/Mrs/Mdm (please cross out the irrelevant)

Name:

I.C. no:

Gender: Male Female

Ethnicity: Malay Chinese Indian Others

Address:

Postcode: State:

Email: Mobile no:

Telephone no: Fax no:

TERMS & CONDITIONS

1. Subscriptions are not refundable.

2. All payments must be made in Malaysian Ringgit (RM).

3. Please allow a duration of four-six (4-6) weeks after payment has

been made for subscription to begin.

4. Cash enclosed in envelope will not be entertained and will be donated.

5. Subscription form is to be sent to:

DQBP SDN BHD (WHEELS WEEKLY)

24D, Jln Desa Jaya,

Taman Desa Off Jln Kelang Lama, 58200 KL

T| +603 7980 8148 F| +603 7980 8149

M|+6016 336 6022 (Chee Seng)

E| seng@wheels-weekly.com

STEP 1

STEP 2

MY PROFILEAGE GROUP

20 & below 21-25 26-30 31-35 36-4041-45 46-50 51 & above

EDUCATION LEVELDiploma Degree Post Graduate Others

OCCUPATIONExecutive Manager General Manager Director/Managing Director CEO/COO/Chairman Others

ANNUAL INCOMEbelow RM50K RM51K-RM70K RM71K-90K RM91K-RM110KAbove RM111K

(please indicate)

(please indicate)

T H E F A S T E S T C A R M A G A Z I N E F O R A C U P O F W H I T E C O F F E E