IF YOU ARE INTERESTED, PLEASE DO KINDLY FILL UP THE ORDER FORM AT HERE TODAY :)

Full Name (as in IC):
Address:
Country:	Malaysia (West Malaysia) Malaysia (East Malaysia) Singapore Other Country
Other Country (Please State):
Contact Number:
Email Address:
Item(s) and Quantity:
Types of Package:	No Package Couple Package Basic Family Package Big Family Package (Gold package) Other Package(s)
Other Package(s) (Please State):
Delivery Method:	Normal Post Registered Post (Pos Daftar) Fast Post (Pos Laju) COD
Payment Method:	Maybank COD
Place of COD (If you choose to COD):	Carrefour, Subang Jaya Shah Alam Section 31 Shah Alam Section 25 Jusco, Bukit Raja
Would you like to be an agen:	Yes No

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