SailaCollection & NurulTailoringServices: KEMEJA VIDA

ORDER FORM

Put a website form like this on your site.

KAIN COTTON

SESUAI DIPAKAI KE MANA SHJ

RM 35

VIDA BIRU GELAP

SIZE L , XL

VIDA COKLAT

SIZE L , XL

VIDA HITAM

SIZE L , XL

L SOLD TO MKCK NURUL
XL SOLD TO HASNITA

Customer :	Regular Customer New Customer
Full Name :
Address :
Contact Numbers :
Email Address:
Product Code & Quantity :
Payment :	CIMB Maybank
POSTAGE CHARGE : RM 6.00 (Semenanjung) RM 9.00 (Sabah & Sarawak)