PURCHASE ORDER FORM

Name:
Email Address:
Address : (Your item will be delivery on this address)
Postcode :
Telephone no :
Produk yang ingin dibeli? ( Which product do you want to buy? )	Rempah Gulai Kawah Rempah Gulai (Ikan Tongkol) Nasi Dagang Rempah Gulai Kermok / Kurma Rempah Kerutub Rempah Sup Debu Tulang / Daging Rempah Dalca Rempah Kuzi ( Sesuai Utk Rendang) Rempah Beriani
Jumlah kuantiti yang ingin di beli ? ( Sila nyatakan jumlah rempah di atas dahulu sebelum ke soalan seterusnya, cth: 2KG) How much quantity do you want to buy ? ( If your request more than one type of spice, please note your quantity for above spice first & then proceed to next questions etc: 2KG)
Jenis rempah yang ingin dibeli seterusnya dan sila nyatakan kuantitinya ? Other type of spices do you want to buy & please state the quantity of your spices?
Jumlah + Kos pos ( RM) : Sum + Posting Cost : ( Cth:RM3.00 + RM3.00 = RM6.00)
Pilihan penghantaran ? Posting Option ?	Pos ekspres (< 100gm) RM3 Pos ekspres (< 500gm) RM4.50 Pos laju (> 1KG) RM6
Bayaran ke: Payment to : ( Under name : NORAZFANIZA BT ABDULLAH )	Maybank Account : 112081021457 ( Sila sms nama, masa & tarikh ) Pls sms yr name, time & date
Sila kemukakan cadangan / komen dalam membantu mempertingkatkan mutu perkhidmatan kami : Please leave your suggestion or comment to help us improving the quality of our products :
SILA SEMAK BORANG DI ATAS DENGAN TELITI SEBELUM ANDA MENEKAN BUTANG DI BAWAH / PLEASE CHECK ALL THE DETAILS BEFORE YOU PROCEED TO NEXT STAGE

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