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, October 1, 2012



POLKA DOT BLOUSE
Color : Orange, Blue, Turqoise, Light Blue, Green
Material : Chiffon
Size : Free Size fit to S|M
Price : RM39

0 comments:

Post a Comment