Order Form

Name:
Contact No.
Email Add:
Mailing Address
Items Code
Payment Method
Perefered Bank
Delivery Method

1. Pos Laju: RM6 WM | RM9 EM (apply to first 500gm only. Any additional weight will be charge RM1 per item).

2. Pos Ekspres: Flat rate of RM4.5 throughout Malaysia (limited to 2 item only)


This HTML form was created by Freedback.

Order Form





Please select one :
Booked

Order

Full Name:



Nick Name :



Address :



Handphone No. :



Email Address:



Payment Method :



Code item(s) :



Delivery Method :



Questions/Comments/Suggestions :






Click here to create your own form.

Subscribe to: Posts (Atom)