ORDER FORM

THIS order form is for confirmation.
Pls fill in after make payment n confirm order
COPY THIS N EMAIL TO  cik_lens88@yahoo.com

Email Address:

Name :

Contact Number :

Address :

Confirm Order :

Bank in to(select one):
MAYBANK
HAMIZAH BT IBRAHIM
112103254767
CIMB
HAMIZAH BT IBRAHIM
12050007760206


Bank in DAte and Bank in Time: