RYANZ COLLECTION: 08/01/2012

ORDER FORM

Name :
Email Address:
Adress :
H/P :
Order ( please state the code ) : 1
Order ( please state the code ) : 2
Order ( please state the code ) : 3
Order ( please state the code ) : 4
Order ( please state the code ) : 5
Payment :	Maybank : 162870008509 ( KARTINA ABD KADIR ) CIMB : 12600007788528 ( KARTINA ABD KADIR )
DELIVERY :	Pos Laju ( SEMENANJUNG MALAYSIA ) Pos Laju ( SABAH / SARAWAK / LABUAN )