Ordering Form

Name:
Email Address:
Mailing Address:
Contact Number:
Item no 1 (code):
Quantity:	1 2 3 4 5 6 7 8 9 10
Item no 2 (code):
Quantity:	1 2 3 4 5 6 7 8 9 10
Item no 3 (code):
Quantity:	1 2 3 4 5 6 7 8 9 10
Payment Method:	CIMB Bank Maybank Cash on Delivery (depends on location)
Leave your question here: