Merdekaday 2024

Passenger Car Subscription

Full Name / Nama Penuh / 全名 *

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Identity Card Number/Passport Number / Nombor Kad Pengenalan / Nombor Passport / 身份证号码/护照号码 (Symbols are not accepted) e.g: 321123010123, A123456789 *

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Mobile Phone / Telefon bimbit / 手机号码 (+6) must start from "0" e.g: 01212345678 *

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Email / E-mel / 电子邮件

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Tyre Rim Size 1 / Rim Tayar Saiz 1 / 轮胎轮辋尺寸 1 *

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Tyre Size 1 (Dimension) / Saiz Tayar 1 (Dimensi) / 轮胎尺寸 1（尺寸） *

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Tyre Pattern 1 / Corak Tayar 1 / 轮胎类型 1 *

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Tyre Quantity 1 / Kuantiti tayar 1 / 轮胎数量 1 *

2 3 4

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Do you purchase any other Size/Pattern? / Adakah anda membeli mana-mana Saiz/Corak lain? / 您是否购买任何其他尺寸/类型？ *

Yes No

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Tyre Rim Size 2 / Rim Tayar Saiz 2 / 轮胎轮辋尺寸 2 *

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Tyre Size 2 (Dimension) / Saiz Tayar 2 (Dimensi) / 轮胎尺寸 2（尺寸） *

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Tyre Pattern 2 / Corak Tayar 2 / 轮胎类型 2 *

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Tyre Quantity 2 / Kuantiti tayar 2 / 轮胎数量 2 *

1 2 3 4

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Do you purchase 4pcs of 16” - 20” of selected sizes? / Adakah anda membeli 4pcs 16” - 20” saiz terpilih? / 您是否购买了 4 颗 16 寸 - 20 寸的已选定尺寸 *

Yes No

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Delivery Address for “Michelin Pillow^” / Alamat penghantaran untuk "Bantal Michelin^” / 米其林枕头的送货地址^” * ^Applicable to first 3,500pcs redemptions only / untuk 3,500pcs penebusan pertama sahaja / 只适用于前3,500次兑换 *

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Proof of purchase upload / Muat naik bukti pembelian / invois / 上传购买证明 *

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0 / 1

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(Max. file size 5 MB)

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Terms and conditions / Terma dan Syarat / 条款和条件 *

I accept Terms and Conditions

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Personal Data and Privacy Notice / Data Peribadi dan Notis Privasi / 个人资料和隐私声明 *

I agree with the Personal Data and Privacy Notice

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I agree to receive Michelin news in future / Saya bersetuju untuk menerima berita Michelin di masa hadapan / 我同意将来收到米其林的时事通讯

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