Shape Magazine Subscription Form
Subscribe to
Seventeen
Men's Health
Shape
*
Name (Ms/Mr)
*
Address
Home
Office
*
Postal Code
*
State
-
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
Wilayah Persekutuan KL
Wilayah Persekutuan Labuan
Wilayah Persekutuan Putrajaya
*
Contact No
(Mobile)
(Office)
(Home)
*
NRIC
*
Age
*
Date of Birth (dd-mm-yy)
*
Occupation
*
Email
YES!
For free privileges notification
YES!
I would like to subscribe to SHAPE for 12 months at RM67.00 (Penisular Malaysia) / RM84.00 (East Malaysia).
Enclosed is a cheque / money order / Maybank2U:
Cheque No.
Money Order No.
Maybank2U
Terms and Conditions
*Cheque is made payable to Blu Inc Media Sdn Bhd Mail your subscription order form to Blu Inc Media Sdn Bhd, P.O. BOx 116, Jalan Sultan Post Office, 46710 Petaling Jaya, Selangor.
*Please allow six weeks for processing of order
*Strictly no refund upon cancellation of subscription
*The above subscription rate and benefits are applicable only to Malaysia residents
*For further enquiries, please call 03-79527115 or e-mail subscription@bluinc.com.my
