Order Form

	Mr. Ms.
First Name
Last Name
Address
City
State
Postcode
Country
Telephone	Please enter a valid telephone number so that we can contact you.
E-Mail Address	Example: user@email.com
Order List	(Item Name, Item Code, Color & Quantity)
Delivery Method	Normal postage (Free of Charge)PostLaju Courier (RM6 EM and RM7 for WM)Hot spot Pick Up
Payment Mode	Public BankCIMB BankMaybank
	* Please fill up all the fields