:: ORDER FORM ::

:: PERSONAL INFORMATION ::
NAME
ADDRESS(SHIPPING ADDRESS)
POSTCODE
STATE	Kelantan Terengganu Pahang Johor Melaka Negeri Sembilan Selangor Perak Perlis Kedah Pulau Pinang Putrajaya Kuala Lumpur Sabah Sarawak Labuan Outside Malaysia
EMAIL
WEBSITE	(if any,jika ada)
TELEPHONE
HAND PHONE
:: ORDER INFORMATION ::
KATALOG ORDER 1	Katalog - Health Supplement Katalog - Book and E-Book Katalog - Baby Blanket Katalog - Clock & Photo Frame
PRODUCT CODE	Not At This Time Astromin - Nutrition for mind - RM 35.00 including POS LAJU charge Book-"Panduan Bercinta dan Berdating - RM 27.00 + POS LAJU charge Baby blanket - Z 941025 - RM 40.00 including POS LAJU charge Baby blanket - Z 942577 - RM 40.00 including POS LAJU charge Baby blanket - Z 941024 - RM 40.00 including POS LAJU charge Baby blanket - Z 942578 - RM 40.00 including POS LAJU charge Baby blanket - Z 942579 - RM 40.00 including POS LAJU charge Baby blanket - Z 942580 - RM 40.00 including POS LAJU charge Wall Clock - Z 962670 - RM 30.00 including POS LAJU charge Table Clock - 2 in 1 - Z962665 - RM 18.00 including POS LAJU charge Table Clock - 2 in 1 - Z962666 - RM 18.00 including POS LAJU charge Table Clock - Z 962667 - RM 16.00 including POS LAJU charge Table Clock - Z 962668 - RM 16.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-G - RM 20.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-P - RM 20.00 including POS LAJU charge Photo Frame - Z 962669 - RM 16.00 including POS LAJU charge
QUANTITY	unit
KATALOG ORDER 2	Katalog - Health Supplement Katalog - Book and E-Book Katalog - Baby Blanket Katalog - Clock & Photo Frame
PRODUCT CODE	Not At This Time Astromin - Nutrition for mind - RM 35.00 including POS LAJU charge Book-"Panduan Bercinta dan Berdating - RM 27.00 + POS LAJU charge Baby blanket - Z 941025 - RM 40.00 including POS LAJU charge Baby blanket - Z 942577 - RM 40.00 including POS LAJU charge Baby blanket - Z 941024 - RM 40.00 including POS LAJU charge Baby blanket - Z 942578 - RM 40.00 including POS LAJU charge Baby blanket - Z 942579 - RM 40.00 including POS LAJU charge Baby blanket - Z 942580 - RM 40.00 including POS LAJU charge Wall Clock - Z 962670 - RM 30.00 including POS LAJU charge Table Clock - 2 in 1 - Z962665 - RM 18.00 including POS LAJU charge Table Clock - 2 in 1 - Z962666 - RM 18.00 including POS LAJU charge Table Clock - Z 962667 - RM 16.00 including POS LAJU charge Table Clock - Z 962668 - RM 16.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-G - RM 20.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-P - RM 20.00 including POS LAJU charge Photo Frame - Z 962669 - RM 16.00 including POS LAJU charge
QUANTITY	unit
KATALOG ORDER 3	Katalog - Health Supplement Katalog - Book and E-Book Katalog - Baby Blanket Katalog - Clock & Photo Frame
PRODUCT CODE	Not At This Time Astromin - Nutrition for mind - RM 35.00 including POS LAJU charge Book-"Panduan Bercinta dan Berdating - RM 27.00 + POS LAJU charge Baby blanket - Z 941025 - RM 40.00 including POS LAJU charge Baby blanket - Z 942577 - RM 40.00 including POS LAJU charge Baby blanket - Z 941024 - RM 40.00 including POS LAJU charge Baby blanket - Z 942578 - RM 40.00 including POS LAJU charge Baby blanket - Z 942579 - RM 40.00 including POS LAJU charge Baby blanket - Z 942580 - RM 40.00 including POS LAJU charge Wall Clock - Z 962670 - RM 30.00 including POS LAJU charge Table Clock - 2 in 1 - Z962665 - RM 18.00 including POS LAJU charge Table Clock - 2 in 1 - Z962666 - RM 18.00 including POS LAJU charge Table Clock - Z 962667 - RM 16.00 including POS LAJU charge Table Clock - Z 962668 - RM 16.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-G - RM 20.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-P - RM 20.00 including POS LAJU charge Photo Frame - Z 962669 - RM 16.00 including POS LAJU charge
QUANTITY	unit
KATALOG ORDER 4	Katalog - Health Supplement Katalog - Book and E-Book Katalog - Baby Blanket Katalog - Clock & Photo Frame
PRODUCT CODE	Not At This Time Astromin - Nutrition for mind - RM 35.00 including POS LAJU charge Book-"Panduan Bercinta dan Berdating - RM 27.00 + POS LAJU charge Baby blanket - Z 941025 - RM 40.00 including POS LAJU charge Baby blanket - Z 942577 - RM 40.00 including POS LAJU charge Baby blanket - Z 941024 - RM 40.00 including POS LAJU charge Baby blanket - Z 942578 - RM 40.00 including POS LAJU charge Baby blanket - Z 942579 - RM 40.00 including POS LAJU charge Baby blanket - Z 942580 - RM 40.00 including POS LAJU charge Wall Clock - Z 962670 - RM 30.00 including POS LAJU charge Table Clock - 2 in 1 - Z962665 - RM 18.00 including POS LAJU charge Table Clock - 2 in 1 - Z962666 - RM 18.00 including POS LAJU charge Table Clock - Z 962667 - RM 16.00 including POS LAJU charge Table Clock - Z 962668 - RM 16.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-G - RM 20.00 including POS LAJU charge Magnetic Photo Frame - Z 962663-P - RM 20.00 including POS LAJU charge Photo Frame - Z 962669 - RM 16.00 including POS LAJU charge
QUANTITY	unit

 

 

 

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