APLUS INTERNATIONAL SDN. BHD.
A14-7, Block A, Bukit Pandan  2, No. 10, Jalan 1/91B, Off Jalan Perdana 3/1, Pandan Perdana, 55300 Kuala Lumpur.
Tel : 03-92742858, 92744788   Fax : 03-92743858   Email : support@aplus.com.my

Aplus Service Pack Registration Form
Company Name
 
Company Address


 
 
Person to contact
 
Tel. / Fax. Number
 
E-mail Address
 
Keydisk / License No.
 
 Date of Purchase
 
Aplus Software Module
 
 Software Installer
 
Service Pack Period Fee
 
3 Month (1 Coupon)
 
6 Month (2 Coupon)
 
12 Month (3 Coupon)
Type
 
New User
 
Upgrade Module
 
Authorised Dealer
User Particular
User Name (01) : ______________________ [ Admin / Executive / Operator ]   Job : ______________
User Name (02) : ______________________ [ Admin / Executive / Operator ]   Job : ______________
User Name (03) : ______________________ [ Admin / Executive / Operator ]   Job : ______________
Job Desc: General Ledger(GL) / Account Receiveable(AR) / Aaccount Payable(AP) / Stock(SK) / Payroll(PR)
Payment Mode :
 
By Cheque             Cheque No : ____________________________     Amount :  RM  _____________
 
By Bank Cash Deposit

    Aplus International Sdn. Bhd.
    Mayban A/C : 501048165675
    Public Bank A/C : 3134776023


___________________________________
 Authorised Signature
Name :
Designation :
 

- - - - - - - - - - - - - - - - - - - - - - - - - - - - -  - - - -  Office Use  - -  - - - - -  - - - - - - - -- - - - - - - - - - - - - - - - -
Accepted By : ___________________________ Module : ____________________
Service Code : ___________________________ Date : ____________________
Hotline No. : ___________________________ Time : ____________________
Expiry Date : _________________  [     ] Month Payment : ____________________

Aplus International Sdn. Bhd.  KL-Tel: 03-92742858,92744788   Fax: 03-92743858    JOHOR   Tel: 06-9518333   Fax: 06-9511099