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Full Name (as in IC):




Phone Number:




Email Address:




Address:




Details of Payment [eg. payment done for code item AA = 2 pcs = RM50 + delivery charges (RM7) = RM57 on 12/12/11 12.11pm]:




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♥ Order Form (Fill it only if u serious want to buy ok!) ♥

Full Name (as in IC):
Phone Number:
Email Address [make sure active]:
Address [make sure put the correct poscode]:
Code Of Items & Amount: [eg. Code AA = 2 helai]
I will pay within
I have read and agree with all the terms & condition apply. Yes
If the owner reply your order form through email is late;
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