Order Form

PLEASE READ TERMS & CONDITION BEFORE YOU FILL THIS FORM.

NOTED AND THANK YOU ヅ

Nama Penuh :
Nama Facebook :
Status Keahlian:	Agen Agen Baru ' Repeat Customer ' Ahli Baru
Alamat Lengkap :
No.Telefon (penting) :
Item Pesanan :	PREMIUM MIRACLE GOLD COCOA (PMGC) CATALYST: VCO SOFTGEL BEAUTIESS CLAY BEAUTIESS SCRUB SWEET PINKISH LIP & NIPPLE CREAM RMC MASK CHARCOAL COLLAGEN: WALET NATURATOR:LOSSE POWDER 51 NATURACTOR:LOSSE POWDER 41 NATURACTOR:FOUNDATION (130) NATURACTOR:FOUNDATION (140) NATURACTOR:FOUNDATION (141) NATURACTOR:FOUNDATION (150) NATURACTOR:FOUNDATION (151) NATURACTOR:FOUNDATION (152)
Jumlah Pesanan :	1 item/set 2 item/set 3 item/set 4 item/set *AGENT ORDER/PESANAN AGEN
Senaraikan JIKA pesanan anda mempunyai produk berlainan :
Cas Pos :	POS LAJU 1-3 ITEMS :RM6.00 ( SEMENANJUNG ) POS LAJU 1-3 ITEMS : RM9 ( SABAH/SARAWAK ) POS LAJU ( INCLUDED POSTAGE )
Jumlah Bayaran :
Cara Bayaran :	Transfer via CIMBCLICKS Transfer via BANK ISLAM Cash Deposit Machine (CDM)CIMB Cash Depost Machine (CDM)BIMB Transfer From Other Account Bank
Email Address:
Lain-lain Pertanyaan:

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