Borang

Name:
Contact No.
Address
Email Address:
Items to be purchase
Payment to	Cimb (10140000718528)Melly Maybank (110108147623)Melly By hand Other
Method of payment	Internet Banking Cash Machine ATM Transfer Other
Preferred shipping method	Poslaju Peninsular Malaysia Poslaju Sabah Poslaju Sarawak Pos Register (Overseas)
Date of payment

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