Name:
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Email Address:
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Telephone No:
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Nama / Jenis Produk (eg : cocoa collagen power plus)
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Quantity Produk :
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Price per Unit (eg: RM55.00)
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Price include shipping?
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YES
NO
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Payment Method :
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CIMB
MAYBANK
PUBLIC BANK
C.O.D
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Delivery Mode :
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POS LAJU
SELF PICK UP
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Delivery Address :
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