UMAIRA SYAMINA COLLECTIONS
ORDER FORM & AGENT FORM
ORDER FORM
Name:
Email Address:
Address :
H/P No :
Code 1 :
Code 2 :
Code 3 :
Code 4 :
Code 5 :
Payment thru :
CIMB
BANK RAKYAT
PUBLIC BANK
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ANDA INGIN MENJADI AGENT KAMI?
SILA ISI BORANG AGENT INI...
Name:
Email Address:
Address :
H/P No :
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SILA HUBUNGI SAYA 016-8099451 ATAU ADD SAYA DI
FACEBOOK.COM/CHANTEAQUE COLLECTIONS
ATAU YM
nurulhashidahtuah@ymail.com
UNTUK SYARAT DAN TERMA MENJADI AGENT UMAIRA SYAMINA COLLECTIONS....
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