ORDER FORM

Full Name:
Valid Email Address:
Contact Number:
Full Address:
List of Order (Product Code & Size):
Category of Product:	Abaya Jalabiya Men Thobe/Jubba Saree
Method of Payment:	(Please Select):- Internet Banking (Online Transfer) Cash Deposit (ATM Transfer)
Preferred Bank for Payment:	(Please Select):- MBB (162106687457): NUR SABRINA BINTI ABDUL MANAF CIMB (12050004296209): NUR SABRINA BINTI ABDUL MANAF BIMB (12038025444429): NUR SABRINA BINTI ABDUL MANAF
	I've read & agreed with the Terms & Conditions as stated in SS Iman Gallery's blog. (Saya telah membaca & bersetuju dengan Terma & Syarat yang telah ditetapkan di blog SS Iman Gallery).

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