Hola! MY ID

Hola! MY ID

ORDER FORM


Name:
Email Address:
Contact No. (Home/Office/Mobile)
Full Address
Your Order : (Please list your order and quantity) Example: 1. ESP - 1 UNIT 2. ALFALFA (SMALL) - 2 UNIT
Additional Info & Discount Code
MULTIPLE CHOICE MAYBANK - 162786026708
CIMB - 12300064701527
Total Payment
Ref. Number Transaction (**please specify which bank and please put ref number if Bank Transfer/Cash Deposit )

***FOR SPECIAL REQUEST - CASH ON DELIVERY 
(KOTA KEMUNING, SHAH ALAM & SUBANG AREA) PLEASE INFORM US

PLEASE EMAIL/ PRINT SCREEN/ SMS YOUR PAYMENT TO US. WE WILL CONTACT YOU WITHIN 48hrs ONCE RECEIVE DETAILS REQUIRED.
SARINA BINTI MOHD SIDEK
HP : (6) 011 3996 8370 
EMAIL : sarina.mohdsidek@gmail.com

THANK YOU.

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