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MALAYSIA'S CUSTOMER REQUEST FORM-FORM M1

Company Name:
Postal Address:
Contact Person:
Position:
Contact Number
Company Background:
     (i) Year of established
     (ii) Number of staff
     (iii) Market Share in Your Country:
               (a) Local :
               (b) Oversea:
     (iv)opulation of your country:
Nature of Business
Hypermarkets/Supermarkets
Whole Seller
Retailer
Distributed
Food Service
Franchise
Other
Product Interest:
MASCORN PRODUCTS LIST
Item Item Code Product Description and Packaging size available Please tick, If interested ( √ ) Order Quantity
1 MD5 MASCORN FRESH PEEL WHOLE KERNEL CORN DIY
500G/PKT 40PKT/CTN
2 MD2 MASCORN FRESH PEEL WHOLE KERNEL CORN DIY
2KG/PKT 10PKT/CTN
3 BB6 MASCORN CORN ON COBS-BBQ2"(6COBS)
2"X 6COBS/PKT 40PKT/CTN
4 B220 MASCORN CORN ON COBS-BBQ2"(20COBS)
2"X 20COBS/PKT 10PKT/CTN
5 MC5 MASCORN WHOLE KERNEL CORN 500G
500G/PKT 40PKT/CTN
6 MC1 MASCORN WHOLE KERNEL CORN 1KG
1KG/PKT 20PKT/CTN
7 MC2 MASCORN WHOLE KERNEL CORN 2KG
2KG/PKT 10PKT/CTN
8 MMV5 MASCORN MIXED VEGETABLE 500G (3MIXED)
500G/PKT 40PKT/CTN
9 MMV1 MASCORN MIXED VEGETABLE 1KG (3MIXED)
1KG/PKT 20PKT/CTN
10 MMV2 MASCORN MIXED VEGETABLE 2KG (3MIXED)
2KG/PKT 10PKT/CTN
11 MGP5 MASCORN GREEN PEAS 500G
500G/PKT 40PKT/CTN
12 MGP1 MASCORN GREEN PEAS 1KG
1KG/PKT 20PKT/CTN
13 MGP2 MASCORN GREEN PEAS 2KG
2KG/PKT 10PKT/CTN
14 CB4 CORNBERRY
4CUPS X 24INNER BOXES/CTN
Do you have cold room facility? YES  NO
How much frozen storage capacity available?
How many unit of refrigerator truck you currently have?
In future, do you have any marketing plan for Mascorn product?
Expected first shipment order from Marine Gold, which month you plan?
Payment Method: TT remittance
Term CIF  FOB  CNF
If sample request, please provide courier service account number eg: DHL, Fedex
(i) Company Name:
(ii) Account Number:
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