ORDER FORM


Name:
Email Address:
Address:
Contact No:
Item Order: Susu Ilham (1-3years)
Susu Ilham (4-7years)(vanila)
Susu Ilham (4-7years)(coklat)
Quantity: [write:item order=quantity. eg:Susu Ilham(1-3years)=3 ]
Type of payment: CIMB
Willing to pay within: 12 hours
24 hours(1day)
48 hours(2days)
72 hours(3days)

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