ORDER FORM

Name:
Email Address:
Contact Number:
Mailing Address:
Item(s) Ordering: * Please state the name,Color and size of choice if any~^^
Delivery Method:	POS LAJU *RM6 1-2 item for West Malaysia POS LAJU *RM8 1-2 item for East Malaysia POS EXPRESS RM4.50 (1 item only)nationwide
Payment Option:	Maybank Public Bank CIMB
Comments / Suggestions:

Put a website form like this on your site.