Order Form

ORDER TYPE / JENIS TEMPAHAN	NEW ORDERS / TEMPAHAN BARU ADD ON/ TAMBAH TEMPAHAN ADVERTISING QUESTIONS / PERTANYAAN IKLAN WHOLESALE QUESTION / PERTANYAAN BORONG
NAME:
EMAIL ADDRESS: (we cannot respond to you if you give us incorrect address)
PHONE NO:
HOME /OFFICE ADDRESS :
POSTCODE:
PRODUCT CODE / ITEMS
ALTERNATIVE CODE: (if items you want to purchase are sold out)
PAYMENT MODE:	CIMB CLICKS MAYBANK2U CASH DEPOSIT WESTERN UNION PAYPAL OTHER BANKS TRANSFER
PERIOD OF PAYMENT	WITHIN 2HOURS AFTER CONFIRMATION WITHIN 24HOURS AFTER CONFIRMATION
ARE YOU SURIANASHOPSTYLE FOLLOWER?	YES (Discount MYR 2 in every single receipt) NO (Not entitle for discount)
WHERE DID YOU HEARD ABOUT SURIANASHOPSTYLE :	BLOGGER FACEBOOK FRIEND OTHERS
CONFIRMATION:	I have read,understood and agreed with terms and conditions apply.

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