Order Form

ORDER FORM

Please fill in the form below and click the "Submit Form" button.

We will get back to you as soon as possible. :)

*please scroll all the way to the bottom to view form*

Name:
Email Address:
Contact No:
Item Name/Code,Size,Colour,Quantity:
Requests/Comments:
Delivery Method:	Postage Cash on Delivery (C.O.D)
Postal Address:
C.O.D Location	Jusco Kepong 1 Utama The Curve HELP University (PBD)

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