ORDER FORM

FULL NAME
FACEBOOK ID(If any)
EMAIL ADDRESS
CONTACT NUMBER
SHIPPING ADDRESS
Item Description, Code (If Any), Quantity & Size
BANK PREFER	CIMB - 05080074244520 (SUHANA BINTI RAMLI) MAYBANK - 161109424837 (SUHANA BINTI RAMLI) BANK RAKYAT - 20120502250509(SUHANA BINTI RAMLI)
Confirmation:	I have read, understood and agreed to the Terms and Conditions.

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