12/03/2017 admin Order Now! BOOKING FORM Note: No payment is required for submission using this booking form. Our product consultant will get in touch with you upon receiving your booking. PERSONAL INFORMATION Your Name (required) NRIC (required) E-Mail (required) Contact No.1 (required) Contact No.2 (required) INSTALLATION ADDRESS Address (required) EMERGENCY CONTACT Your Name (required) Contact No. (required) Relationship (required) YOUR BOOKING Type of Application* (required) —OutrightRental Product Options* (required) —IrisIconJazzFusion StandFusion TopDeluxeKing TopMarvelB-ModelC-ModelBlack HN10Red M10 Payment Options* (required) —Cash (Only Applicable For Outright)Credit CardDebit Card Link: CUCKOO’S PDPA Consent Clause. I have read and agreed with the CUCKOO’S PDPA Consent Clause. Once you submitted all the details above, kindly click WhatsApp link below to send your documents.Thank You.