Order Form

*Name:
*Contact Number:
*Email Address:
*Delivery Address:
*Product code, Color & Size (if applicable), Price ：
*Payment Method :	CIMB MAYBANK PUBLIC BANK
*Delivery Method:	Pos Laju MMU Melaka Pickup (Available at Melaka)
No stock order:	Keep in balance record for next order. Refund with refund bank detail provided. Purchase for an other item.
Refund Bank Details. (If your choose to refund, please fill up here.):

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