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