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Vitara
For You, Your Family, Your Life 5-Doors
PLEASE FILL UP THE BOOKING FORM
Title
*
Mr.
Mrs.
Miss.
Madam
Datuk
Datin
First Name
*
Last Name
*
Email
*
Contact Number
*
PAYMENT INSTRUCTION
Payment made to
SMG AUTO SDN BHD
Bank
PUBLIC BANK
Account Number
318-505-909
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