Order Form

FULL Name *	Name of recipient
Address *	<br />
Postcode *
Phone Number *
Email address *	We will send invoice to this email for payment information
Order List *	<br /> Please fill in item codes and details as below:- [item #1 code]--[item name]--[color]--[quantity]--[price] [item #2 code]--[item name]--[color]--[quantity]--[price] [item #3 code]--[item name]--[color]--[quantity]--[price]
Payment Method *	Public Bank  Maybank  Please choose one of the bank accounts to bank in ❤
Remarks	<br />