Order Form

Full name:
Email Address:
Contact No:
Full shipping address:
Item code & quantity:
If item unavailable, kindly:
**Please replace with this item / refund to this account (bank, account number, beneficiary name)
Which account that you have paid to? Liyana Shamim Maybank 162478193593
Liyana Shamim Cimb 12370071475525
Detail of transaction ( date, time, reference number, beneficiary name). Kindly attach receipt and send to my email: liyanashamim3012@gmail.com

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