Borang Tempahan

    Name:
       

      
   
    Phone No:
   
       
   
    Email Address:
   
       
   
    Address:
   
       
    
    Bank (cth : CIMB)
   
    
    
    Amount (RM):
   
    
    
    Date of Payment:
   
    
   
    Time of Payment:
   
    
   
    Reference No of transaction:
   
    
  
    Description of Order: (Code, Qty, Size)
   
    
  
    
   
  

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