Order Form

ORDERING FORM

Name
Email Address
Contact number
Address
Order (Code, Colour, Quantity)
Delivery Charges 邮费	West Malaysia RM10 (1 -2pcs of clothing)  West Malaysia RM12 (3-4pcs of clothing)  West Malaysia RM12 + RM3/pc for more than 4pcs   West Malaysia RM12 + RM4/pc for more than          4pcs(Long Dresses)  East Malaysia RM15 (1-3pcs of clothing)  East Malaysia RM15 + RM3/pc for more than 3pcs
Which bank did you bank in money to ?	Public Bank (Account No: 4-56554630-5        CHAN YUN LING)  OCBC Bank (Account No: 709-107472-7        CHAN YUN LING)  HSBC Bank (Account No: 357-101781-025        CHAN YUN LING)
Bank in Date (DD/MM/YY)
Bank in Time (e.g. 12.00pm)
Bank in Reference No.
Bank in amount (including Delivery Charges) e.g. 1) 5pcs of clothing to Johor = RM125 + RM15 delivery charges = RM140