ORDER FORM
Name:
Contact Number:
Email Address:
Address:
Item Code,Color,Price:
Item Code,Color,Price:
Item Code,Color,Price:
Item Code,Color,Price:
Item Code,Color,Price:
Item Code,Color,Price:
Payment Method
Maybank
Postage fee:
Grand Total:
Payment reference number (if available):
I've read and understand the terms and condition.
Yes
No
Sunday, October 17, 2010
~ L Collection ~
D258
D257
S162
D259
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