Order Form



CASH ON DELIVERY IS CURRENTLY NOT AVAILABLE
ONLY THROUGH POS LAJU .





Name:
Email Address:
Contact Number:
Address:
Item(s) (Name/Size/Color) :
Quantity:
Postage:
Payment to: Maybank [ 162777176083 ] - NURUL ADILLAH BINTI ABU HASAN
Message:
I will inform after I made the payment through email or sms.
I will attach payment proof to lailalounge@yahoo.com
I have read and agreed with the terms and conditions.


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