Sunday 24 April 2011

Order Details


Name/Nama:
Email Address/Alamat Email:
Handphone No:
Address/Alamat (If COD):
Chocolate Order (Packaging type/chocolate type/fillings/quantity chocolate/design/colour):
Ribbon On Packaging
Submission Date/Tarikh Penghantaran:
Payment Method/Cara Pembayaran: Cash deposit
Cimb Online Transfer
Maybank2u
Delivery/Penghantaran:
Inquiries/Pertanyaan:

CIMB BANK  -04140001316525
MAYBANK    -151539008949

NOOR FARISA BINTI ISMAIL







Put a website form like this on your site.




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