Order Form

Name :

Name as in Facebook/Blog

Contact Number :

Email Address:

Address :

Product Name

Product Quantity

Delivery Method

Pos Laju

Pos Ekspress

Payment Method

Maybank Cash Deposit


Maybank transfer

C.O.D(only for selected area)

any inquiries/messages?

Willing to pay :

after confirmation received

24 hours

48 hours

I have read & understand the terms and condition?



Form provided by Freedback.