| ORDER FORM |

Kindly fill up the order form below and submit the form for confirmation.
Thank you.

Name:
Email Address:
Contact Number:
Item 1 (Code):
Item 2 (Code):
Item 3 (Code):
Preferred Delivery Method:	Mail (Pos Ekpres) Cash-On-Delivery (COD)
Preferred Payment Method:	Maybank2u Online Transfer Cash Deposit ATM Transfer COD
Address (for postage only):
Accept Terms & Conditions:	Yes No

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