Name:
contact number :
Email Address:
Address :
Payment Method Maybank
Bank Islam
type of lens :
colour lens :
Type of Order : Retail
Wholesale
how many pairs :
when can settle the payment : within 12 hours
within 1 day
within 2 day
comment :
Saya bersetuju : Order akan terbatal dengan sendiri apabila tiada pembayaran dibuat dalam masa 2 hari tanpa sebarang notis

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