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For application to register as NationCover Buzz customer only. Walk-in customer or corporate customer who intend to buy NationCover 1 time only please email support@nationcover.com for any question on rate.



Name of Sender: *
I.C / Business Registration No.: *
Nationwide Courier Acc No: *
Sender Address: *
Phone No.: *
Fax No.:
Person To Contact:
E-Mail Address (Optional):
Type Of Consignment:  Document   Parcel
Business Occupation: *
Description of Goods (In Details): *
Estimate Annual Carrying: RM
Max Value Per Consignment Note: RM
Max Daily Carrying: RM
Average Daily Carrying: RM
Company TurnOver (Optional): RM
Loss / Damage Experience:
(at least 2 years)		YEAR is RM
YEAR is RM
YEAR is RM
Shipment Fees:  To Cover   Not To Cover
Territorial Limit (In Details):
From
To
or Whole Malaysia
Conveyance: Land  Air  Sea
Submitted by Personnel: *
Sales Team Code / Branch No. / Staff No.:*
Contact No.: *
E-Mail Address: *
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