Order Form

Name:
Email Address:
Contact number:
Date of birth:
What do you prefer?	Hair Accessories Necklaces Bracelets Earrings Rings
Prefer:	COD (Cash on Delivery) Pos Laju Pos Express (only for 1 item)
COD places:	OUG Plaza/Citrus Park (after 7pm) Sunway College
Address (NOT required if COD)
Item code, colour, quantity:

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