ORDER FORM

Status:	New customer Repeat customer
Purpose:	Order Query
Name:
Phone Number:
Email Address:
Address:
Payment:	Online Banking Cash Deposit ATM transfer
Bank:	Maybank Bank Islam CIMB
Name & Code Item / Product:
Code Colour:
Code Design:
If we're late giving a response, are you willing to wait?	Yes, I am willing to wait! If no response within 48 hours, I cancel my order
Other requirement (message):

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