| Customer | Member
New |
| Member(MUST INSERT MEMBERCARD NUMBER 2 GET 10% OFF IF BUY RM70 ABOVE ) | |
| Name | |
| Phone Number | |
| Address(Only for NEW customer) | |
| Email | |
| Product(s) Name + Code | |
| Period of bank in | |
| Bank | Maybank
CIMB
Western Union |
| How did you hear about us? | |
| Any comments? | |
| I agree with terms & conditions | Once u fill in the form, no backout (SERIOUS BUYER ONLY!!!) If suddenly backout, your number will black listed..PLS DONT WASTE OUR TIME..TQ |
|
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