Purchase Order Form

Name:
Email Address:
Contact Number:
Address:
Item Name:
Item Name:
Postage Method: PosLaju
COD
Payment Method: Maybank
CIMB
Remarks or Enquiries:

RM15 each!

Left to right, up to bottom;

1) AVAILABLE
2) AVAILABLE
3) AVAILABLE
4) AVAILABLE
5) AVAILABLE
6) SOLD