ORDER FORM


Name*:
Contact Number*:
Email Address*:
Mailing Address*:
List of items & Size/Enquiry*:
Contoh :- Jenis baju (England Ruggy Jersey) , Kod (2013N01) , Size (L) , Kuantiti (1) , Voucher series no (VARC0001)
Post Service*: POSLAJU(SEMENANJUNG)-RM7
POSLAJU(SABAH/SARAWAK)-RM10
FREE POSTAGE (DURING PROMOTION ONLY)
Where did you heard about us? BLOG
FACEBOOK
GOOGLE
FROM FRIENDS
OTHERS
Payment Method*: CIMB : -
MAYBANK : 162843056183 (AMIR ARIFF BIN FADZIL)

T/C: (1)Pembayaran hendaklah dibuat dalam tempoh 24jam selepas membuat tempahan. (2)Pembelian berdasarkan konsep 'first come first serve'.

*'Required information'.
I agree with the Terms & Conditions apply to Amir RugbyClothing Ltd*.

This HTML form was created by Freedback.