Order Form

Name:
Email Address:
Contact Number
Shipping Address
FACEBOOK URL (eg:https://www.facebook.com/abcd)
Product Name & Quantity (eg:Vitamin B x 1btl)
PAYMENT	Online Bankin ATM Transfer Cash
Bukti Pembayaran (Reference No/Bank/Date & Time) example : (11203/cimb/12 march 12.35pm)
Delivery	POS LAJU CASH ON DELIVERY
Pertanyaan (Jika ada)
Sila SMS @ WATSAPP 0138187984 , Erica Isadora , Shaklee ID:1105221 Untuk Keterangan Lanjut, Sekian