Order Form

♥ FILL UP THE FORM & SUBMIT ORDER THANK YOU ♥

Name:
Email Address:
Contact Number:
Shipping Address:
FACEBOOK URL: (eg:https://www.facebook.com/abcd)
Product Name & Quantity: (eg:Vitamin B x 1btl)
PAYMENT:	Online Bankin ATM Transfer Cash
Bukti Pembayaran: (Reference No/Bank/Date & Time) example : (11203/cimb/12 march 12.35pm)
Delivery:	POS LAJU CASH ON DELIVERY
Pertanyaan: (Jika ada)
Sila SMS @ WHATSAPP 016-8315405 ,Mama Putri, Shaklee ID:892829 Untuk Keterangan Lanjut, Sekian