Name:
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Email Address:
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Contact Number
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Full Address (for delivery purposes only)
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Items Name/Code, Colour, Quantity
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Method of Payment
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Maybank2u Online Banking
CIMBClicks Online Banking
Cash Deposit Machine
Cash On Delivery (COD)
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Postage Options
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Pos Laju
COD
Others
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If 'Others', please state how
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Remarks
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