Foot Mask Order Form

Name:
Email Address:
Contact Number :
Delivery Address :
Luxe Foot Mask	RM68.00 ( One Box) RM136.00 ( 2 Box) RM 204.00 ( 3 Box) RM272.00 ( 4 Box ) RM 340.00 ( 5 Box ) RM408.00 ( 6 Box)
Delivery Option:	CITYLINK WM RM7.00 ( 1-6 Box) CITYLINK EM RM12.00 ( 1-6 Box) COD
E-Banking: [Maybank S.I.Global (M) Sdn Bhd 5144 0400 4908] :	Maybank A/C : 5144 0400 4908] ( S.I.Global (M) Sdn Bhd ) Hong Leong A/C : 001-00-39533-0 ( S.I.Global (M) Sdn Bhd ) RHB A/C : 2142-3100-050938 ( S.I.Global (M) Sdn Bhd )
Total Amount Bankin :

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