ORDER FORM

Name:
Contact No:
Email Address:
Product Name/ Colour/ Code 1:
Product Name/ Colour/ Code 2:
Product Name/ Colour/ Code 3:
Product Name/ Colour/ Code 4:
Product Name/ Colour/ Code 5:
Tempoh Pembayaran
Pembayaran akan dibuat melalui account
Full Address:
Pos Laju Ke: Semenanjung Malaysia
Sabah/ Sarawak
Lain-lain
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Aug 5, 2010

JUBAH ZAHARA
(materials: high quality denim)
size: s, m, l, xl rm69


Blue Black - Saiz M, L
ALL SOLD OUT


Brown - Saiz M, L
ALL SOLD OUT

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