Registration Form
(right click on this form, then click on print)

Name: _______________________________________________
Mobile Tel No: ________________________________________
Add: __________________________________________________________
E-Mail: ________________________________________________________

Payment details: 

By cheque/money order : I enclose a cheque/money order for RM_________ payable to True Wealth Sdn Bhd

By Credit Card: Please charge RM____________ to my credit card

Please tick  [ / ] : [    ]  VISA    [    ] MasterCard

Card No: __________________________________________ 

Bank: ____________________________________

3 digit no at the back of the card: _____________

Cardholder' Name: __________________________________ 

Exp date: ___________

Signature: ________________________________
(signature must correspond with the specimen on the card)

 

Mail this form together with your payment to:

True Wealth Sdn Bhd
A-2-11, Dataran Glomac
Jalan SS6/5A
Pusat Bandar Kelana Jaya
47301 Petaling Jaya
Selangor

THANK YOU FOR YOUR ORDER