Online Purchase

Paper Mate Products Online Purchase Form Notice:This form is just for academic use only.

Name *

Identification Card No.

Matrix Card No.

Housing Address

Contact Number (Mobile)

Contact Number (Home)

Email *

Product List *

Paper Mate 1.2® Paper Mate 300® Paper Mate Apex Paper Mate ComfortMate Ultra® Paper Mate Design Paper Mate Clearpoint® Paper Mate ComfortMate® Paper Mate Mega LeadTM Paper Mate Precision® Paper Mate Pink PearlTM Paper Mate Black PearlTM Paper Mate White PearlTM

Bank

Public Bank Maybank CIMB Bank OCBC Bank HSBC Bank Bank Islam AmBank HongLeong Bank Others

Bank Account Number

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