Winner / Purchaser Details:
Congratulations on winning RM100 Touch N Go E-wallet. Kindly make sure your mobile number is correct for accurate transfer. Thank you.
Full Name:
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Email Address:
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Confirmation Email
Company (if purchase under company name):
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Toyota Outlet:
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Toyota Balakong - Wing Hin Automobile
Toyota Pandan Indah - Wing Hin Motor
Toyota Wangsa Maju - Motozoom
Sales Advisor Name:
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Toyota Car Model purchased:
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Car Plate No.:
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Additional Notes:
This is just to make sure this information is being entered by a human.
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