Customer
|
Returned Customer
New Customer
|
Full Name:
|
|
Emel:
|
|
Address:
|
|
Contact No:
|
|
Product code & quantity:
|
|
Alternative Code (Kalau barang yang saya nak xde, sila pilih kod ni):
|
|
Payment method:
|
Cimb Bank
Maybank
|
I will pay latest by (before/ on):
|
|
Note:
|
|
I agree with Zayra Shawl terms&conditions:
|
|
|
