PROMAX ASIA PTE LTD 3C Tank Road Singapore 238060 Main +65 6736 1435 www.promaxasia.tv GST No. 200304882N ABN No. 72800597490 DUPLICATE AWARDS ORDER Please fill out this form completely. Your Order Member / Non-member Quantity Amount Trophy S$250 / S$400 Certificate S$100 / S$142 Place: Gold Silver Event Presented: Year _______ Africa Asia Australia / NZ China India Indonesia _____________________________________________________________________________ Awarded to (Organization Only) _____________________________________________________________________________ Title of Entry _____________________________________________________________________________ Category Title _____________________________________________________________________________ Personal Recognition PROMAX Awards or Certificates can only be ordered by those individuals or organizations included in the credits of the winning entries. Please indicate personal credit on the "Personal Recognition" line provided above. Page 1 of 3 SHIPPING ADDRESS ______________________________________ _____________________________________ Name Member # _____________________________________________________________________________ Title/Position _____________________________________________________________________________ Company _____________________________________________________________________________ Address 1 (No P.O. boxes. Street address only) _____________________________________________________________________________ Address 2 ______________________________________ _____________________________________ City State/Province ______________________________________ _____________________________________ Zip/Postal Code Country _______________________________________ _____________________________________ Telephone E-mail SHIPPING & HANDLING FEES Please select one: You arrange for your courier service to pick up your package(s) at our Singapore office. We provide you with the details – our office address, package weight & size, etc. - No handling fee. We arrange with DHL for the delivery to you. Shipping fee to be confirmed and included in your invoice after submitting this order form. Custom charges, if any, are borne by you. - S$50 handling fee. - Total Cost = Cost of trophies + Shipping fee + S$50 No charge for certificate(s). Page 2 of 3 PAYMENT DETAIL Please select one: Wire Transfer Billing Address, if different from shipping address: _____________________________________________________________________________ Name _____________________________________________________________________________ Title/Position _____________________________________________________________________________ Company _____________________________________________________________________________ Address 1 (No P.O. boxes. Street address only) _____________________________________________________________________________ Address 2 ______________________________________ _____________________________________ City State/Province ______________________________________ _____________________________________ Zip/Postal Code Country _______________________________________ _____________________________________ Telephone E-mail Complete and return this form to [email protected] and we shall follow up with an invoice and instructions. • Due to custom lettering on trophy, order is only confirmed after payment is made. • Please allow 4-6 weeks for delivery. • A 7% GST is applicable to all above-mentioned pricing for Singapore-based individual and company, and delivery within Singapore. Page 3 of 3 .