Order Form

Please follow below format to submit order

Name :
Contact number:
Address:
Delivery method:
Order(code number):
From what bank transfer / transfer:
Remittance to my account which:
Total remittance / the bank / Time Date:

Example:
Name : Norain Khadijah
Contact number: 012-3456789
Address: No 80, Jalan Labu Dua, 24/10A, Seksyen 24, 40000 Shah Alam.
Delivery method: Pos Express
Order: ON01, ON05

From what bank transfer / transfer: CIMB
Remittance to my account which: CIMB
Total remittance / the bank / Time Date:

Amount: RM44.00 Status: Successful
Reference number: 1442261930
Transaction date: 11 Nov 2011
Transaction time: 10:07:20
From Account: 1621973333498

send to aini073@gmail.com