Order Form

Name:
Email Address:
Mailing Address
Phone Number
Items	SNE Beutskin Felinna Inch Loss Rice Milk Soap
Quantity
Delivery Method	Poslaju (WEST) RM 6 Poslaju (EAST) RM 9 Normal Post RM 3
Payment Method	CIMB BANK ISLAM
Additional Request
Please Check the T&C before sending your form. Tick the agree button if you agree with the T&C.	Agree

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