ORDER FORM
Name:
Email Address:
Contact Number :
Mailing Address (NOT Required for COD) :
Item Name 1 :
Color (Item 1) :
Quantity :
1
2
3
4
5
Item Name 2 :
Color (Item 2) :
Quantity :
1
2
3
4
5
Method of Delivery :
COD (Cash On Delivery)
POS Laju
POS Ekspres
COD Hotspots (NOT Required for POSTAGE) :
DJ Area
KDU Area
PJ area
Other
Payment Method :
Online Banking (Maybank2u)
ATM Cash Deposit
Cash On Delivery
Your Inquiry :
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