Order Form

Name:
Email Address:
Contact Number
Item
I want to buy as	Retail Wholesale
Payment Via	CIMB CLICKS/CIMB BANK OTHER BANKS WESTERN UNION
Payment Method	Online Transfer Cash Deposit Machine ATM Transfer Cheque Deposit / Bank in Counter Others
Make Payment to	CIMB BANK ACC: 14081316390522 (Izzah Syazwina Mohammad Halmi)

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