Purchase Receipt*

Receipt/Invoice No.* Date of Purchase* Place of Purchase (Shop Name)*

Model Purchased* Choose A3WMY10NF-A3LCY10F (AVO Inverter -1.0 Horsepower) A3WMY15NF-A3LCY15F (AVO Inverter -1.5 Horsepower) A3WMY20NF-A3LCY20C (AVO Inverter -2.0 Horsepower) A3WMY25NF-A3LCY25C (AVO Inverter -2.5 Horsepower) A3WMY10APF-A3LCY10F1 (AVORY Premium - 1.0 Horsepower) A3WMY15APF-A3LCY15F1 (AVORY Premium - 1.5 Horsepower) A3WMY20APF-A3LCY20F1 (AVORY Premium - 2.0 Horsepower) A3WMY25APF-A3LCY25F1 (AVORY Premium - 2.5 Horsepower) A3WMY10AF-A3LCY10F1 (AVORY - 1.0 Horsepower) A3WMY15AF-A3LCY15F1 (AVORY - 1.5 Horsepower) A3WMY20AF-A3LCY20F1 (AVORY - 2.0 Horsepower) A3WMY25AF-A3LCY25F1 (AVORY - 2.5 Horsepower) A3WMY10BF-A3LCY10B (REINO+ - 1.0 Horsepower) A3WMY15BF-A3LCY15B (REINO+ -1.5 Horsepower) A3WMY20BF-A3LCY20B (REINO+ -2.0 Horsepower) A3WMY25BF-A3LCY25B (REINO+ -2.5 Horsepower) A3WMY10BNF-A3LCY10BN (REINO - 1.0 Horsepower) A3WMY15BNF-A3LCY15BN (REINO -1.5 Horsepower) A3WMY20BNF-A3LCY20BN (REINO - 2.0 Horsepower) A3WMY25BNF-A3LCY25BN (REINO -2.5 Horsepower)

Name*

Email*

Phone No.*

Age*

State* Choose Johor Kedah Kelantan Kuala Lumpur Labuan Malacca Negeri Sembilan Pahang Penang Perak Perlis Putrajaya Sabah Sarawak Selangor Terengganu

How do you know about this contest?* Choose Online Media (Facebook, Instagram, TikTok, Google) Recommend by electrical appliance seller/ dealer Exhibition Word of mouth (through friends, family, or colleagues) Acson Website Traditional media (e.g., Radio)