Order Form

Shopper Information
Name :
Date of Birth :
Billing/Shipping Address :
Email Address :

Order Information

• Code No. :
• Quantity :
• Amount (RM) :

Delivery Fee (RM) :

Delivery Methods - (Poslaju/Poslaju Express/EMS)
By :


TOTAL (RM):


Payment Method
Bank In to one of the following account
(A) Public Bank Berhad
(B) CIMB Bank Berhad

Your Choice:

Comments:

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