UBS-Logo-[Converted]_03.jpg 

Sage Cover Renewal Notice

 

  Please contact the partner / associate who serves you to assist you with the Sage Cover Renewal.

Text Box: Registered Information
 


 

License

:

«CompanyName»

Company Reg  / I.C. No.

:

«ROCNo»

Address

:

«Address1»«Address2»«Address3»

Post Code       

:

«ZipCode»

Town:

«Town»

State: 

«State»

Contact Person 

:

«Salutation» «Contact_Person»

Contact No.

:

«BusinessNo»

Fax No.:

«FaxNo»

Mobile No. 

:

«MobileNo»

Contact Person Email :

«Email1»

 

 

 

Product Name

:

«ProductID»  Version 4

SNO

:

«SerialNo»

Sage Cover Expiry Date

:

«SCExpiryDate»

Purchase From

:

«custname» «AS_Name»

Text Box: Please update your information if there are changes

 

 

 

Company Reg  / I.C. No.

 

:

_________________________

Address

:

_________________________________________________________________

 

 

_________________________________________________________________

Post Code       

:

___________

Town:

_________________

State: 

_______________

Contact Person 

:

_________________________________________________

Contact No.

:

_____________________ 

Fax No.:

_________________

Mobile No. 

:

_____________________

Contact Person Email 

:

____________________________________

Purchase From 

:

____________________________________

 

 

 

 


  I wish to renew for

I hereby authorized to deduct the renewal fee from my following credit card:

 

Card No     : ______________________

Name on

Card           : ______________________

 

Expiry Date : ______________________

 

Signature   : ______________________

 
            (Within 1 month grace period 30 days)

 1 year (RM 199)     3 years (RM 499)

 

            Term & Condition Late charges apply

            (Within 2 & 3 months 31 to 90 days)

1 Year with penalty (RM 199 + RM 100)              

3 Years with penalty (RM 499 + RM 100)

 

            (Laps more than 3 months <91 days)

1 Year + Upgrade Fee (RM 199 + RM 500)                      

3 Years + Upgrade Fee (RM 499 + RM 500)                    

 

Mode of Payment*:                                                                     Accept VISA & MASTER Card Only

Cash                       Cheque _____________    Credit Card      

*Payment to be made preferably to partner or associate.

  Alternatively the payment can be made payable to

  UBS Corporation Sdn Bhd (Maybank A/C No: 514495-400922)

        

A new Sage Cover Certificate will be delivered within 14 days once the renewal is processed. Please make sure you receive this as the proof of renewal. Should you do not receive this after 14 days, kindly contact us at 1 300 88 SAGE (7243), Customer Marketing Department.

 

 

 

            ____________________                                                        ____________________

            Partner/Associate Chop & Sign                                               Subscriber Chop & Sign

 

Date:                                                                                        Date: