ORDER FORM

Name*
Email*
Mobile*
Address Post Code
Item (colour/size)*
Item (colour/size)
Item (colour/size)
Shipping via*	Post Laju (Shoes/Bags)   Post Express (Clothing)
Payment via*	Maybank 2 U Online / ATM TransferMaybank Cash DepositCimb Clicks Online / ATM TransferCimb Cash DepositOther Giro Transfer
Notes:
Upon submission of this form, I hereby agree to the terms apply.
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