Order Form

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Shopper's Name *

Email Address *

Contact Number *

Address *

Item Code No. (Colour)

K000 0X (Blue)

Item Code No. (Colour)

Item Code No. (Colour)

Item Code No. (Colour)

Item Code No. (Colour)

No of Item Ordered

Postage Method * Please select...Normal PosRegister PosPos EkspressPos Laju

Payment Made To * Please select...Maybank2UPPe

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