Full Name (As per NRIC)
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Number
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Street Address
City
State
Company Name (If any)
Old Air-conditioner Collection Method (choose one)
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Doorstep Collection - RM250 rebate (If selected, please choose your Preferred Collection Date. Remark: An ERTH representative will contact you directly to collect the old air conditioner unit(s).)
Drop-off at ERTH Cyberjaya HQ - RM300 rebate (G-3A, Ground Floor, Kanvas Retail @ Prima 15, Jalan Teknokrat 6, Cyberjaya, 63000 Cyberjaya, Selangor, Open Everyday from 10am-10pm. Whatsapp Hotline: +60142211446)
Preferred Collection Date
Drop-Off Location
Drop-Off Date
Drop-Off Time
Photo of the old Air-conditioner taken for recycling.
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Upload photo or file
Photo of the newly-installed Panasonic Air-conditioner Indoor Unit (with serial number label visible) *no serial number = -RM100
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Upload photo or file
Special Request/Remarks
Submit Form
