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Name:
Email Address:
Contact Number:
Full Address:
Item Codes & Quantity & Price:
Postage:	POSLAJU SEMENANJUNG RM6 (1 ITEM) POSLAJU SEMENANJUNG RM10 ( 2 ITEMS) POSLAJU SEMENANJUNG RM15 ( 3 ITEMS) POSLAJU SABAH/SARAWAK: RM10 ( 1 ITEM) POSLAJU SABAH/SARAWAK: RM15 (2 ITEMS) OWN ARRANGEMENT/SELF PICK UP DETERMINED BY QASEH IFZA FOR BULK PURCHASE
Total Payment (RM) :
Payment Method:	MAYBANK 112214046254 (NORAFIZAH AHMAD) CIMB 08040041530523 (NORAFIZAH AHMAD)
Bank Reference Number, Time, & Date of Payment (Refer to payment slip or internet banking receipt) :
Confirmation :	I hereby confirm that have made payment as above. I shall wait for Qaseh Ifza to reply within 48 hours or I shall sms to 012-2018002 (Fiffy/Norafizah) for prompt reply and retain banking slips for proof of payment.

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