ORDER FORM

NAME:
ADDRESS:
HANDPHONE NO:
EMAIL ADDRESS:
ITEM (please indicate code no,colour,price & link):
PAYMENT	PAID UNPAID
PAYMENT AMAOUNT (REQUIRED IF PAYMENT HAS BEEN MADE)
DATE OF PAYMENT (REQUIRED IF PAYMENT HAS BEEN MADE)
PAYMENT TYPE:	MAYBANK2U CIMB CLICKS CASH DEPOSIT

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