NAME :
CONTACT NUMBER :
HOME ADDRESS (for those who choose to postage)) :
EMAIL ADDRESS :
ORDER LIST :
i) Code -
ii) Design / Colour -
iii) Quantity -
PAYMENT METHODS :
i) Cash On Delivery (COD)
- please state the spot where you are convenient to meet us
OR
ii) Payment Through Public Bank
- bank account number will email to you once you have confirmed the make payment
REMARKS:
* After filling up these form, please email to us at just-deluxe@hotmail.com and we will reply you within 24 hours. =)