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Order Form
Name (Required):
Email Address (Required):
Contact Number (Required):
Items name/code, colour, quantity (Required):
Payment Method (Required):
(Select)
Maybank Interbank Transfer
Maybank Cash Deposit
CIMB Interbank Transfer
CIMB Cash Deposit Machine
Cash On Delivery (COD)
Delivery Method (Required):
(Select)
Pos Laju
Cash On Delivery (COD)
COD location:
(Select)
Damansara Jaya
Damansara Utama
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Taman Tun Dr Ismail
Bandar Utama
Mailing Address (Required, if opting for postage):
Remarks:
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