25 Ogos 2014

ORDER FORM


 FILL UP THE FORM & SUBMIT ORDER THANK YOU 
Name:
Email Address:
Contact No:
Shipping Address:
FACEBOOK URL:
(eg: https://www.facebook.com/abcd)
Product Name & Quantity:
(eg: Vitamin B x 1btl)
PAYMENT:
Bukti Pembayaran:
(Reference No/ Bank/Date & Time)
example : (11203/cimb/12 march 12.35pm)
Delivery:
POS LAJU
CASH ON DELIVERY
Pertanyaan:
(Jika ada)
Sila SMS @ WHATSAPP  017-8959772 Farzana @Tracy Emelda, Shaklee ID:996799 Untuk Keterangan Lanjut, Sekian

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