Order Form

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Name:
Email Address:
Date of Birth (For our Buffday© Gal Program)
Contact No.
Address (If by POS)
Item(s) and color
Delivery Method	COD (SS14 & 15 Subang Jaya) COD (Kepong) COD (Cheras Leisure Mall) COD (The Curve & One U) Pos Laju (West Malaysia -->RM8) Pos Laju (East Malaysia -->RM10) Registered Pos one item only(East and West -->RM4) Other (Please specify below)
Other (Please specify)
Payment Mode	Cash Maybank
How do you know about us?	A Shopaholics Den Advertisement from other blogs Friend Other
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	By submitting this form, I hereby agree with all Terms and Conditions and understand that once the form have been submitted, there will be no cancellation or backing out last minute.

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