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Yearly Online Support Maintenance Application Form
*
Indicates required field
Company Name
*
Fill in your registered company name (SSM). Example: ABC Holding Sdn Bhd
Company Registration Number
*
Fill in your company registration number (SSM). Example: 123456-A
Shop Name
*
Fill in your shop name / brand name. Example: ABC Cafe
Name
*
First
Last
Fill in your name. (Person In Charge)
Phone Number
*
Fill in your contact number. Must be a valid contact number.
Email
*
Fill in your email. Must be a valid email address.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Fill in registered address. (address shown in SSM)
How Many POS Terminal you have (Including POS Server)
*
1
2
3
4
5
6
7
8
9
10
More than 10 (Pls key in QTY below)
QTY of POS Terminal
*
Fill in here if non of your options listed above.
Salesman / Technical Name
*
First
Last
Fill in the salesman/technical name who deal with you.
Upload Bank In Slip (If Any)
*
Max file size: 20MB
Upload the bank in slip/online transfer slip if you have paid.
Please check the box before submit
*
By clicking "submit" you agree to sign up Yearly Online Support Maintenance and you confirm that the information given in this form is true, complete and accurate.
Submit
Business Models
Table Service
Quick Service
Retail
POS System
Tablet POS
All In One POS
Modular POS
POS Services
NeoPOS
NeoMobile
NeoCloud
E-Wallet Services
Clientele
Blog
NeoReport