G . N . I . P   Helmet  Cover  Order  Form

1) Name :  

 

2) Contact Number :
3) Email Address :  

 

4) Method of Collection                 

(Please key in your address if you opt for delivery services. Delivery will be charged as mentioned in the main page.)

 

Self-Collect            Delivery     

5) Preferred day of collection :

 

(This is to facilitate in the planning for collection. You may tick more than one.)     

Monday                 Friday       

Tuesday                Saturday     

Wednesday             Sunday       

Thursday       

 

6) Preferred time of collection :

Morning        

Afternoon                  

Night            

 

7) G.N.I.P Helmet Cover Order         

(Fill in the number of  orders according to your preference and leave the rest blank if not applicable.) 

 

 

 

 

 

 

AA 1 (Black)                 :   
AA 2 (Silver)                  :    
AA 3 (White)                  :   
8) Customised Name :   

(Leave this section blank if not applicable. Note that each alphabet is charged at S$0.50.)

9) Special Request :                                        

(Leave this section blank if no special request)