LEXUS HORIZON HILLS

The Malaysia Personal Data Protection Act has taken place effective 15 November 2013. By filling out this form, you consent to the use of your personal information by UMW Toyota Motor Sdn Bhd for marketing communications.

Please take a clear photo of the front and back of your driver's license.

* Indicates required question

OTP Verification

Phone Number *

OTP *

Personal Information

Full Name (As per NRIC) *

Email Address *

Gender *

Age Range *

Monthly Income *

Driving License Expiry Date

Driving License

Upload front license

Upload back license

Personal Interests

Which of the following car model you are interested in? (Multiple Selection) *

What are your primary areas of interests? *

Administrative Information

Sales Consultant Name *