ORDER FORM

Name:
Address:
Phone Number:
Email Address:
Item Code & Color & Quantity:
Payment Date&Time:
Payment Type: Full Payment
Pay For Booking
Payment Method:
Payment To: MAYBANK
CIMB
Transfer Amount:
COMMENT & FEEDBACK:

This online form was provided by Freedback.

Monday, April 11, 2011



Code : DL1321
Color : Navy Blue|Blue|Red|Pink|Black|White|Brown
Size : Free Size fit to S|M
Price : RM50 free belt
Material : Cotton

0 comments:

Post a Comment