Borang Online

Name:
Address:
No KP:
HP No
Email Address:
Nama Pasangan:
NO KP Pasangan
Keahlian	Keahlian Baru (RM 50) Ahli Berdaftar
* Sudah menjadi ahli (Sila masukkan No Keahlian anda :
Jumlah pesanan:	1 tin =(RM 144 || RM 108) 2 tin =(RM 288 || RM 216) 3 tin =(RM 432 || RM 324) 4 tin =(RM 576 || RM 432) 5 tin =(RM 720 || RM 540) 6 tin =(RM 864 || RM 646) > 6 tin = Sila hubungi saya
Bayaran POS (Semanjung Malaysia):	1 Tin (RM 10) 2-3 Tin (RM 14 - RM 18) 4-6 Tin (RM 18 - RM 24) Selebihnya = Sila hubungi saya
Bayaran POS (Sabah & Sarawak)	1-3 Tin (RM 25) 4-6 Tin (RM 40) 7-12 Tin (RM 80) 13-17 Tin (RM 120) 18 Tin ke atas - Percuma
Bayaran Melalui:	MBB [162357228044](Saliza Salihuddin) BIMB [08040020040994](Saliza Salihuddin)
Bukti Pembayaran Online Banking (Sila copy & paste butir bayaran disini)
Bank & Nombor Akaun Anda:

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