AAA CD114115_0084

Sales Order Form

Individual Corporate
Customer
CustomerParticulars
Particulars
Title : Tan Sri. Dato. Datin. Dr. Mr. Mrs. Ms.

NORIZAM BINTI IBRAHIM

Full Name as per I/C or Company Name :

NRIC (New) / Passport / Company No. : 820101065158 NRIC (Old) / Police ID / Army ID :

Installation Address (Malaysia Only) : NO 5 JALAN HARMONI 2 TAMAN HARMONI

SERI KEMBANGAN Selangor 43300
Postcode

Customer Contact No. : Tel (Mobile) (1) : 017 3462994 Tel (Residence) (1) : 017 9173667
Tel (Office) (1) : ext.

Tel (Fax) (1) : E-mail (1) :

Other
OtherCustomer
CustomerParticulars
Particulars(Applicable
(ApplicabletotoIndividual
Individualonly)
only)

Date of Birth : 01/01/1982 Race : Malay Chinese Indian Korean Others : _______________________
Gender : Male Female

Monthly Billing Method : Default SMS send to Mobile (1) Mobile (2) :
E-mail to : E-mail (1) E-mail (2) :

Additional
AdditionalService
ServiceContact
ContactPerson
PersonInformation
Information(Applicable
(Applicableto
toboth
bothIndividual
Individualand
andCorporate)
Corporate) please tick if contacts same as above

HUSBAND
Second Contact Person :

Tel (Mobile) (2) : 017 9173667 Tel (Residence) (2) : 017 3462994
Tel (Office) (2) : ext. Tel (Fax) (2) :
Corporate
Corporate Customer
Customer Billing
Billing Information
Information please tick if same as above
Do not group billing with previous order(s) (S/B & SME) only

Billing Address :

Postcode

Billing Contact Person

Tel (Office) : ext. Department :

Monthly Billing Method Email Invoice to: Paper invoice (Only applicable to Government & Bank)
E-mail (1) : Upload via Vendor / Supplier Portal Web Address (URL):

E-mail (2) :
Note: Note: other than Government and bank, E-Invoice feature will be enrolled automatically.
Order
Order&&Payment
PaymentInformation
Information
(i) Product (ii) Quantity (iii) Outright (iv) Rental Period (years):
: (viii) Cash Cheque Credit / Debit card
(v) Price : RM_____________
1
Model Instalment (a) Minimum Rental Period +

0
(b) Extended Period : 6M 12M 18M 24M 36M
Rental
3+2 6+0 (vi) RPF : RM_____________
AP-2021A_GRAY (NOBLE) 5+0 7+0 125
(vii) Rental: : RM_____________
(ix) Auto / Direct Debit Advance 1 / 2 years

Others (Please State: ________) E-Portal Regular (Company Only)

Credit Card / Debit Card Auto Debit Authorisation Signature

I hereby authorised Coway (Malaysia) Sdn. Bhd. (“Coway”) to charge my debit / credit card for the amount:
0
Rental Processing Fee (“RPF”) - RM___________________________________(One-time deduction upon signing of this Agreement)
125
Monthly Rental Fee - RM___________________________________(Monthly deduction until termination or expiry of this Agreement)
484810006850 8346
Card No.:_____________________________________________________ PUBLIC BANK
Issuing Bank: __________________________________
Signed at:
2022-10-13 17:00:47
NORIZAM BINTI IBRAHIM
Card Holder Name: _______________________________________________________________ Expiry Month (MM/YY) : 03 / 27
Third-Party Payee Payment Authorisation Signature & Stamp
I/We_______________________________NRIC/Co.No.______________________________ agree to be responsible as a third-party payee for
payments in respect of this order by charging my credit card/debit card/savings account.
A copy of IC/SSM and Credit/Debit Card/Bank Statement submitted. A copy of Direct Debit Form for charging my savings account submitted
Savings account no. : _______________________________________ Issuing Bank : _______________________________________________ D D / M M / Y Y

Preferred
TRADE EX-5 PLUS NOBLE
: AM PM
Promotion Code / Installation
Special Instruction: Date and Time 17/10/2022

THIS CONTRACT IS SUBJECT TO A COOLING-OFF PERIOD OF

TEN WORKING DAYS
(Installation will only be done after the cooling-off period unless customer agrees to waive this clause)

SITI ZUHAIDAYATY
I/We confirm that the particulars stated above are true and accurate. I/We have read the Terms Internal Use
and Conditions as set out in the reverse side of this Form and hereby agree to be bound by the
Sales Person Name : ____________________________________________________
said Terms and Conditions.
Sales Person Code
CD114115
:

Signed at: 0165395292

Mobile No. : ___________________________TR No.______________________________
__________________________________________________________________________
2022-10-13 17:00:47 / Date
Customer Signature RM : ___________________________Order No.____________________________

Note : 1) Pursuant to the Credit Reporting Agencies Act 2010 (“the Act”), I/we the undersigned hereby give my/our consent to the registered reporting agency (“CRA”) under the Act to disclose my/our credit
information to COWAY for the purposes of determining my/our credit standing.
2) This Agreement shall supersede any and all prior written and oral agreements. In executing this Agreement, the Customer shall not rely upon any promise, representation or statement not embodied herein.
Coway’s representatives shall have no right to enter into any settlement or special agreement with the Customer other than as stated herein.

White : Company Copy Yellow : Customer Copy Blue : Sales Person Copy SOF-03/2022
 TERMS & CONDITIONS
DEFINITIONS: - D. This Agreement shall supersede any and all prior written and oral agreements. In executing this Agreement, the Customer
Appliance : Water Purifier / Air Purifier / Bidet / Water Softener / Outdoor Water Filter (POE) or any other similar product shall not rely upon any promise, representation or statement not embodied herein. Coway’s representatives shall have no
marketed under the brand name COWAY, as referred to in this Agreement. right to enter into any settlement or special agreement with the Customer other than as stated herein.
Coway : Coway (Malaysia) Sdn. Bhd., and includes its successors and permitted assigns. E. This Agreement shall be governed by the laws of Malaysia.
Customer : The person or organization purchasing or renting the Appliance.
Agreement : This Sales Order Form including the Schedule, which may be modified or supplemented by Coway from time to SECTION A: TERMS APPLICABLE FOR OUTRIGHT PURCHASE OF APPLIANCE
time. The terms and conditions in this Section A shall only apply where the Appliance is purchased outright by the Customer.
Schedule : The Order and Payment Information Schedule contained in the first page of this Sales Order Form. 1. Payment Conditions
INTERPRETATION: - A. A one-time payment as stated in Item (v) of the Schedule (“Appliance Price”) shall be made by the Customer to Coway by
A. Words denoting a natural person include any body or person, corporate or incorporated; and the use of any gender includes the way of cash, credit / debit card or any other methods approved by Coway, upon the execution of this Agreement. Partial
other genders. payment is not accepted.
B. The word “including” or “includes” shall be deemed to be followed with “but not limited to” whether or not followed by such B. Except as provided in Clause 5 of the General provisions above, such payment made is not refundable, transferable or
phrase or words of like import. exchangeable for any other promotions or services.
2. Maintenance Services Period
The Customer agrees to be bound by the terms and conditions of purchase or rental, as the case may be, of the Appliance as set out A. Coway shall provide Maintenance Services for the Appliance for a period of one year (1) from the Installation Date (“Initial
herein. Period”).
GENERAL B. Upon the expiry of the Initial Period, the Customer may execute a separate agreement with Coway for Maintenance Services
The provisions in this section (GENERAL) apply to both SECTION A (TERMS APPLICABLE FOR OUTRIGHT PURCHASE) and SECTION B for a further minimum period of one (1) year.
(TERMS APPLICABLE FOR RENTAL). SECTION B: TERMS APPLICABLE FOR RENTAL OF APPLIANCE
1. Coway reserves the right to accept or reject any orders after this Agreement is signed by the Customer. This Agreement The terms and conditions in this Section B shall only apply where the Appliance is rented by the Customer.
shall become effective and binding upon the Customer on the date the Appliance is installed (“Installation Date”). 1. Processing Fee
2. Coway may sell or assign either absolutely or by way of security any or all of Coway’s rights under this Agreement to any The Customer shall pay the RPF as stated in Item (vi) of the Schedule for internal processing purposes. Upon Coway completing its
third party, and the Customer agrees to do all things necessary to give effect to such sale or assignment. credit assessment on the Customer, the RPF shall be deducted from the Customer’s debit/credit card or bank account, whichever
3. Personal Information / Personal Data applicable.
A. Coway’s privacy statement which can be found at https://www.coway.com.my/privacy-notice (“Privacy Statement”) forms 2. Rental Period
an integral part of this Agreement. The rental period shall commence on the 1st day of the month following the Installation Date (“Rental Commencement Date”) and
B. The Customer acknowledges that the Customer has read and understood the Privacy Statement and agrees to the continue for a period as stated in Item (iv) (a) of the Schedule (“Minimum Rental Period”) after which it will automatically be
processing of the Customer’s personal data as set out therein. Coway may use reasonable efforts to bring any significant extended for a period as stated in Item (iv) (b) of the Schedule (“Extended Period”) unless terminated by the Customer upon expiry
changes to the Privacy Statement to the Customer’s attention. of the Minimum Rental Period by written notice to Coway. The Minimum Rental Period and Extended Period shall collectively be
C. The Customer authorises Coway, at any time, to disclose his personal data to any third party appointed by Coway to perform referred to as the “Rental Period”.
the services as contemplated under this Agreement. 3. Maintenance Services Period
D. The Customer also authorises Coway, at any time and from time to time to process (including access, obtain, verify and/or Subject to Clause 7 of the General provisions and Clause 6 below, Coway shall provide Maintenance Services for the Appliance
use) any data or information from any source (including credit reference agencies, credit reporting agencies (“CRA”) as throughout the Minimum Rental Period or the Rental Period, as the case may be.
defined in the Credit Reporting Agencies Act 2010, Bank Negara Malaysia, any credit bureau and/or the Central Credit 4. Monthly Rental Fee
Reference Information System (CCRIS) and such relevant authorities) for the purposes of evaluating the Customer’s credit A. The Customer shall pay the monthly rental fee as stated in Item (vii) of the Schedule by way of direct debit/auto debit of
standing, as Coway deems fit in connection with this Agreement. Simultaneously, the Customer also consents to CTOS Data the Customer’s credit/debit card or bank account or any other modes of payment as approved by Coway from time to time.
System Sdn Bhd, Coway’s appointed CRA, to disclose his credit information to Coway for purposes of determining the The Customer shall, upon signing this Agreement, complete and execute the relevant payment authorisation form as
Customer’s credit standing. annexed herein.
4. Installation B. If the Customer elects to pay via a method not described in Clause 4A above, Coway reserves the right to charge the
A. Coway or its appointed technician shall install the Appliance at the Customer’s premises at no additional charge. However, Customer a handling fee of RM10.00 per month (“Rental Collection Handling Fee”), for each month payment is made via
Coway will notify the Customer if a booster pump is needed (i.e. low water pressure), wherein the costs for the booster such method.
pump and installation of the same shall be borne separately by the Customer. C. Coway also reserves the right to charge a Rental Collection Handling Fee in cases where it has failed to obtain payments
B. Coway will only install the Appliance after: from the Customer through direct debit/auto debit for two (2) consecutive months and where there is no advance payment
(i) all relevant payments are made by the Customer to Coway; of rental fee by the Customer. The Rental Collection Handling Fee will be charged on a monthly basis beginning from the
(ii) Coway has verified the Customer’s credit standing and other information provided by the Customer; and month following the second consecutive month in which the Customer fails to make payment via direct debit /auto debit.
(iii) Coway has verified the suitability of the proposed premises/location for installation of the Appliance. D. The Customer shall inform Coway in writing as soon as possible of any changes to his bank account details which may affect
5. Refund payment collection or deduction, to avoid any disruption in the provision of the Maintenance Services.
All prepayments made by the Customer towards this Agreement including the rental processing fee (“RPF”) and advance monthly E. Where Coway does not receive the full monthly rental fee from the Customer due to insufficient balance in the Customer’s
rental fee, if any, is refundable provided that the order is cancelled by the Customer in writing, prior to the installation of the bank account on the date payment is due, Coway shall be entitled to appropriate a sufficient sum from the Customer’s
Appliance. Upon receiving such request, Coway will process the refund as follows: bank account to fulfil any outstanding amount due to Coway at a later date. There may be more than one attempt to charge
Mode of Customer’s Payment Mode of Refund to Customer Refund Time (Business Days) the Customer’s credit/debit card and bank account to ensure that the monthly rental fee due to Coway is paid in full.
Online Transfer 14 F. Coway shall be entitled to increase the monthly rental fee in order to take into account any increase in its operating costs
Cash / Cheque in respect of the Appliance including any increase in the cost of labour, material or transport.
Cheque 30
5. Billing
Debit / Credit Card Debit / Credit Card 30 A. Regardless of the Rental Commencement Date or expiry or termination date of the Minimum Rental Period or the Rental
6. Warranty Period, as the case may be, the monthly rental fee stated in Item (vii) of the Schedule shall be charged in full on a calendar
A. The warranty period for the Appliance commences on the Installation Date for a period of 1 (one) year for outright purchase month basis from the month following the Installation Date until the month on which, the Agreement expires or is
and throughout the Rental Period (as defined in Clause 2 of Section B below) for rental of the Appliance, as the case may be terminated as stipulated herein.
(“Warranty Period”) and covers defects to the Appliance due to faulty workmanship and materials, subject to the exclusions B. The Customer shall pay each monthly rental fee within thirty (30) days from the date of the respective invoice. In the event
described in Clause 6C (“Warranty”) below. of termination of this Agreement either by Coway or the Customer, all monies owing to Coway shall become due and
B. The Warranty includes free replacement parts as deemed necessary by Coway, scheduled maintenance services and, subject payable immediately.
to Clause 8B below, free reinstallation of the Appliance (limited to once per year) within the Warranty Period. C. Any dispute regarding billing must be communicated by the Customer to Coway in writing within thirty (30) days from the
C. The following are expressly excluded from the Warranty: date of the relevant invoice failing which, the invoice is deemed to be accurate. Notwithstanding a dispute on the amount
(i) Damages caused by lightning, flood, fire, act of God or any other cause beyond Coway’s control; in the invoice, the Customer shall promptly pay any outstanding amount which is not in dispute.
(ii) Defects or damages that arise from the Customer’s or a third party’s negligence; D. Coway reserves the right to change the mode of billing from time to time without prior notice to the Customer.
(iii) Modifications of any type to the Appliance for any reason; 6. Non-Payment of Rental
(iv) Misuse; improper use; abuse; incorrect operation of the Appliance; Coway has the right to suspend provision of the Maintenance Services if the Customer fails to pay the monthly rental fee
(v) Lack of proper routine or preventive maintenance of the Appliance; for a continuous period of three (3) months or more. Coway shall be entitled to take necessary measures to recover all
(vi) Unauthorized repair by a third party not appointed by Coway; outstanding rental fees owed by the Customer, including listing the Customer with a CRA, engaging collection agencies
(vii) Damages due to the usage of a third party’s filter, part or accessory; and/or commencing legal proceedings, as reflected in the table below:
(viii) Damages due to any relocation, removal or reinstallation of the Appliance not authorized by Coway;
(ix) Normal wear and tear. Month of arrears Action
D. The Customer shall be liable and shall indemnify Coway for any damage to the Appliance as a result of any act contemplated 2 SMS to remind Customer
under paragraphs (ii)-(viii) of Clause 6C. 3 Send Reminder Letter to Customer
E. Coway reserves the right to repair or replace the Appliance or any part thereof at its sole discretion if there are defects to 3 Suspend Maintenance Services from the 4th month onwards
the Appliance during the Warranty Period. Such right includes any decisions to change the filters of the Appliance. Upon any 4 Pass over the account to a collection agency
replacement of the Appliance or any part thereof (“the Old Appliance”), the Old Appliance shall remain the property of 6 Repossess the Appliance
Coway. 6 List Customer with a CRA
7. Maintenance Services
A. Coway will provide scheduled maintenance services for the Appliance (“Maintenance Services”) in accordance with its
7. Appliance Ownership
current maintenance policy. Coway reserves the right to charge the Customer separately for the costs of additional
The Appliance rented to the Customer remains the property of Coway throughout the Minimum Rental Period or the Rental Period,
maintenance services as Coway deems necessary, where, for example, the same is due to improper use of the Appliance
as the case may be. Subject to Clause 6 of the General provisions above, the Customer shall not, and under no circumstances attempt
or usage of a third party’s filter, part or accessory.
to, dismantle, repair, undertake maintenance work or replace any parts of the Appliance or procure a third party other than Coway
B. The Customer must allow Coway to conduct regular Maintenance Services as per its maintenance policy. Frequent
to do the same. Coway shall not be liable for any losses or damages incurred by the Customer in the abovementioned events.
postponements of the same by the Customer will be viewed as a breach of this Agreement.
8. No Transfer, Sublease, Resale or Rental of the Appliance
C. If the Customer requests for a scheduled Maintenance Service to be cancelled, Coway shall not be held liable in any manner
The Customer shall not attempt to transfer, sublease, resell or rent the Appliance to any third party throughout the Minimum Rental
whatsoever for any losses or damages arising from the cancellation. No additional Maintenance Services in replacement of
Period or the Rental Period, as the case may be. Loss of the Appliance or attempts to transfer, sublease or resell the Appliance
the cancelled Maintenance Service will be provided. In addition to the foregoing, if the Customer requests for the
amounts to a breach of this Agreement which warrants legal action.
Maintenance Services for two (2) or more Appliances to be on the same schedule, the expiry date of the Maintenance
9. Termination of this Agreement
Services for all Appliances shall be deemed the same and no additional Maintenance Services will be provided.
A. The Customer shall not terminate this Agreement prior to the expiration of the Minimum Rental Period, failing which, the
D. Coway reserves the absolute right to not conduct Maintenance Services if the Customer relocates the Appliance to a new
Customer shall be liable to pay the penalty stipulated in Clause 10A below. The termination shall only be effective upon the
location without its prior written consent, which includes instances where the Customer relocates the Appliance to a
location outside of Malaysia or an ‘off-road’/’block area’, as determined by Coway. Appliance being returned to Coway in good condition. If the Appliance is not returned to Coway, this Agreement shall
remain in force and the Customer shall be liable to pay the monthly rental fees in full until the expiry of the Minimum Rental
8. Relocation of the Appliance
Period or the Rental Period, as the case may be.
A. In the event the Customer intends to have the Appliance relocated, the Customer shall notify Coway of his intended new
B. Coway reserves the absolute right to terminate this Agreement at any time during the Minimum Rental Period or the Rental
location prior to the relocation. Any relocation of the Appliance shall be subject to Coway’s prior written consent (which
Period, as the case may be, by giving seven (7) days’ notice to the Customer, and retrieve the Appliance under the following
shall not be unreasonably withheld). For the sake of clarity, Coway has the absolute discretion to reject any request for
circumstances: -
relocation if the Customer intends to relocate the Appliance to a location outside Malaysia or an ‘off-road/block area’, as
(i) poor environmental conditions, abnormal usage of the Appliance, transfer and/or sublease of the Appliance,
determined by Coway.
unauthorized modification of the Appliance; or
B. All costs incurred for such relocation shall be borne by the Customer. Without prejudice to the foregoing, Coway shall be
(ii) the monthly rental fee has been overdue for a consecutive three (3) months or more; or
entitled to impose labour charges for each request to dismantle and/or reinstall the Appliance if the Customer makes such
(iii) breach of any other terms of this Agreement by the Customer.
a request more than once in a calendar year (except for POE, which shall be subject to labour charges even in the case of
C. Notwithstanding the preceding Clause 9B, Coway reserves the absolute right to terminate this Agreement for any reason
the first request).
whatsoever and retrieve the Appliance, at any time during the Minimum Rental Period or the Rental Period, as the case
C. Any damage to the Appliance incurred during the relocation shall be excluded under the Warranty.
may be, by giving fourteen (14) days’ notice to the Customer.
9. Discontinuance of the Appliance
10. Early Termination
If Coway intends to discontinue the sale or rental of the Appliance, Coway may use commercially reasonable efforts to notify the
A. If the Customer terminates this Agreement prior to the expiration of the Minimum Rental Period, the Customer is deemed
Customer of the said discontinuance. Coway will endeavour to provide Maintenance Services for the discontinued Appliance on a
best effort basis, for a reasonable period thereafter. In any event, Coway will continue to provide Maintenance Services until the to be in breach and shall be liable to pay an early termination penalty amounting to fifty per centum (50%) of the total
monthly rental fees for the remainder of the Minimum Rental Period calculated on a calendar month basis.
expiry of the Rental Period or the Maintenance Services membership, as the case may be, as subscribed to by the Customer before
B. In addition to the above, the Customer shall not be allowed to enter into another agreement on rental terms with Coway
the said discontinuance. Notwithstanding the aforesaid, Coway shall have no obligation, or liability in connection with the failure,
for a period of three (3) months after such early termination.
to provide such Maintenance Services and the Customer shall have no right to claim for any damages or compensation from Coway
11. Appliance Loss Fee
on the same.
If the Appliance cannot be located or is damaged beyond repair, the Customer shall be liable to pay a penalty (“Appliance
10. Force Majeure
Loss Fee”) calculated as follows: -
Coway shall be excused from the performance of its obligations under this Agreement, to the extent that such performance is
prevented by force majeure including an act of God, acts of terrorism, compliance with any regulation, law or order of any Appliance Loss Fee= (Appliance Price x 90%) – [(Appliance Price/Rental Period (in months)] x Number of Months Monthly
Rental Fee Paid]
government, war, acts of war (whether war be declared or not), labour strike or lock-out, civil commotion, epidemic, pandemic,
12. The Customer’s Options upon the Expiration of the Rental Period
failure or default of public utilities, destruction of production facilities or materials by fire, earthquake, flood or like catastrophe.
Upon full and prompt payment of the monthly rental fees continuously throughout the Rental Period, the Customer may opt for any
11. Liability
one of the following:
No liability whatsoever shall be attached to Coway either in contract or in tort for loss, injury or damage sustained by reasons of any
A. Return the Appliance to Coway and enter into a new agreement for the rental of another Appliance (“New Appliance”)
defect in the Appliance whether such defect be latent or apparent on examination; and neither shall Coway be liable to indemnify
provided that the New Appliance is within the same product category. For the sake of clarity, in such an event, the Customer
the Customer in respect of any claims made by a third party for any such loss, injury or damage.
12. Miscellaneous shall pay the new monthly rental fee in accordance with the new agreement; or
B. Submit his application for transfer of ownership wherein, Coway, at its sole and absolute discretion, may transfer the title
A. The Customer shall inform Coway in writing of any changes to the Customer’s personal details (address, contact details,
or ownership of the Appliance to the Customer, and the Customer may, subject to Clause 9 of the General provisions, at
etc.) as soon as possible. Coway shall not be responsible for any loss or damages suffered by the Customer as a result of
his option, execute an agreement with Coway for Maintenance Services only.
issues that arise due to the Customer’s failure to comply with the foregoing.
B. Coway reserves the right to request additional supporting documents for verification purposes; and the right to take legal
action against the Customer if any information/documents provided by the Customer is false/forged. Disclaimer: This is to notify Customers that Coway does not collaborate with any third party online shopping platforms to promote or sell the
Appliance nor does Coway sell the Appliance through third party retail chains. Coway does not endorse or accept any responsibility for the contents
C. Coway reserves the absolute right to make the final decision on any dispute arising from this Agreement.
of such third party platforms nor for the Appliances offered through such third party online platforms or retail chains.

AAA CD114115_0084
For Service Call
Signed at: 1-800-888-111 (Coway Careline)
2022-10-13 17:00:48