MamaMia

MAMAMIA'S ORDER FORM

This HTML form was created by Freedback. FOR ORDER ITEM : STATED ITEM NAME, QUANTITY, PRICE IN BLOG, COLOUR & ALL DETAILS. TQ

NOTTY PEPPY BURGUNDY DRESS
Size : Age 3-7Y = 6PCS
Min Qty : 4PCS x RM 30 = RM 120

NAME :
E-MAIL ADDRESS :
HANDPHONE NO :
ORDER #1 :
ORDER #2 :
ORDER #3 :
ORDER #4 :
ORDER #5 :
PAYMENT METHOD :	MAYBANK : RAMIAH MAHFODZ 151463084977 CIMB : MIA KIDZ ENTERPRISE 0112 0000031 109
DELIVERY ADDRESS :
HAVE U EVER BOUGHT FROM MAMAMIA BEFORE?	YES NO

MAMAMIA'S ORDER FORM