BABY & UMMIES SHOP ORDER FORM

FULL NAME:
FACEBOOK NAME:
Email Address:
PHONE NUMBER:
ADDRESS:
ITEM CODE AND QUANTITY:
ANOTHER CODE IF THE ABOVE CODE IS OUT OF STOCK:
PAYMENT METHODS:	MAYBANK TRANSFER OR DEPOSIT MACHINE CIMB CLICKS OR DEPOSIT MACHINE
I AGREE WITH THE TERMS AND CONDITIONS:	YES NO

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