RentalBinApplication

Rental Bin Application
User Information
Identification Number *
Name *
Phone Number *
Email *
example@example.com
Address *
Rental Application
Notes:-

Payments pay at one stop counter PERBINDA office

Rates:

1. 240L = RM 10/day

2. 660L = RM 25/day

3. 1100L = RM 50/day

4. RORO Bin = RM 300 *Remark: Please meet us at PERBINDA Office or call us at 086332662
Capacity *
Bin rate(RM) *
Start Rent Date *

Month Day Year
End Rent Date *

Month Day Year
Days Of Rental(Days) *
Quantity *
Total price(RM) *
Purpose Of Application *
Should be Empty: