Gadget Kaki Online Ordering Form
Item Order 订购商品
*
E.g. Galaxy S2 - Nillkin Matte Hard Case (Black x1)
Full Name 姓名
*
First Name
Last Name
Forum ID 论坛账号
*
Put N/A if you have no forum ID
Forum Name 论坛
*
Please Select
Lowyat.net
Facebook
JBTalks论坛
Cari佳礼论坛
Other
Address 地址
*
ex. 129-7-2, Jalan Samak, 10450, Alor Setar Kedah
Phone Number 联络号码
*
-
Area Code
Phone Number
E-mail 邮件
*
Payment Method 汇款银行
*
Maybank: 1081 7877 3747 (Lai Kim Lan)
Public Bank: 4558 1736 12 (Ho Kai Hong)
COD: (cash on delivery/ self-collect)
CIMB: 0709 0008 0340 58 (HOHO MOBILE)
Payment Amount 汇款数额 (RM)
*
Payment Date 汇款日期/时间
*
-
Day
-
Month
Year
Date Picker Icon
Remark 备注
Something that u need us pay attention
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