CELEBRITY WEAR HOUZ

Owned by De Celebrity Dress Sdn Bhd (974816-D)

DCR MARKETING SDN BHD (718792-P) TEL: 03-7710 8103 FAX: 03-7710 6103

ADD

: 78, Jalan SS2/75, 47300 PJ, Selangor.

TEL/FAX : 03-7865 3139

INSTALLMENT PAYMENT PLAN FORM Name as in I.C / Passport Address (if require / where applicable)

Postcode Email Address NRIC Number Product Purchased:

City Mobile Number Office Number

CREDIT CARD PAYMENT DETAILS 1. Credit Card Number 2. Credit Card Type (Visa / Master) 3. Credit Card Expiry Date 4. CVV Number 5. Amount* RM
(Month / Year) (Last 3 digit behind your credit card located @ signature panel)

6. Approval Code

SELECT A BANK - 6 MONTHS INSTALLMENT Citibank RHB Bank HSBC Public Bank AmBank Alliance Bank Hong Leong Bank OCBC Bank

SELECT A BANK - 12 MONTHS INSTALLMENT Citibank RHB Bank AmBank HSBC Public Bank CIMB Bank Standard Chartered Bank Alliance Bank Hong Leong Bank OCBC Bank

(NOTE: Min. RM1,200 & Additional CIMB Form required)

SELECT A BANK - 24 MONTHS INSTALLMENT Citibank RHB Bank AmBank

The Easy Payment or Installment programme is only applicable to residence of Malaysia with the selected banks only.All Easy Payment Scheme provided by each indidual bank is subject to each individual bank's terms and conditions. By signing on this form cardmembers hereby agrees and understood all the terms and conditions imposed or stipulated by the individual bank and DCR Marketing Sdn Bhd. All other Terms and Conditions shall apply.

Signature Purchaser / Cardholder/ Cardmember

X
Note: This is Easy Payment Plan Order Form for purchase of CELEBRITY WEAR HOUZ PRODUCTS & SERVICES only and shall not be valid for any other transaction or other products. DCR has the right to approve or reject any order form received without any discretion given. Other Terms & Conditions apply.

Please note that your Payment is processed by DCR Marketing Sdn Bhd. The Name of DCR Marketing will be shown on your Credit Card / Bank Statement. You will also receive a notification SMS from DCR on this Transaction.

TERMS & CONDITIONS

1. The purchase is subject to the Cardmember available balance and credit availability in his/her credit card account. 2. Cardmember shall submit a photocopy of Indentity Card, Credit Card and other documents it may required by Bank, Merchant, DCR Marketing Sdn Bhd to support this application. 3. Upon approval of the application, the Bank will debit the Cardmember's Card Account with the Monthly Instalment payable on a monthly basis, for the duration stipulated. Cardmember available credit limit will be provisionally reduced by earmarking an amount, equivalent to the Purchase Amount which will not be available to Cardmember but will progressively restored on a monthly basis as repayment of each Instalment amount is made. 4. Any return of goods and/or cancellation of services by the Cardmember to the Merchant shall be subject to the Merchant's terms for the return of goods. 5. Any disputes arising from the purchase of any merchandise under this Instalment Payment Plan shall be resolved directly between the Cardmember and the participating Merchant. The Bank and DCR shall not be held liable for any damages whatsover. 6. The products and/or services offered herein are supplied by the respective Merchant. The Bank and DCR are only providing a means of payment for these goods and/or services via usage of Card. 7. In the event of cancellation/termination of the Cardmember's credit card account, all outstanding instalments for the balance of the monies owing under this instalment scheme shall immediately become due and debited to the Cardmember's credit card without further reference payable by the Cardmember. 8. The Bank, Merchant, DCR reserves the rights to vary,amend, delete or add to these terms and conditions without prior notice nor assigning any reason whatsoever to the Cardmember.