| Name:
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| Email Address:
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| Contact No.
(Home/Office/Mobile)
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| Full Address
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| Your Order :
(Please list your order and quantity)
Example:
1. ESP - 1 UNIT
2. ALFALFA (SMALL) - 2 UNIT
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| Additional Info & Discount Code
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| MULTIPLE CHOICE
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MAYBANK - 162786026708
CIMB - 12300064701527 |
| Total Payment
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| Ref. Number Transaction (**please specify which bank and please put ref number if Bank Transfer/Cash Deposit )
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***FOR SPECIAL REQUEST - CASH ON DELIVERY
(KOTA KEMUNING, SHAH ALAM & SUBANG AREA) PLEASE INFORM US
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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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