Purchasing Forms / Enquiry Forms - Reseller & End User Only

Reseller Name : (If you are not agneslee321 Reseller, please disregard this question)
Email Address :
Purchaser :	Reseller End User
Customer Name :
Customer Mobile No :
Product Code / Colour / Quantity :
Transferred from :	Maybank Public Bank
Payment Via:	MAYBANK (101218338177 /LEE MING LAI) PUBLIC BANK(4-6058920-12/LEE MING LAI)
Amount Paid :
Delivery Address : (must include post code)
Delivery Option :	Skynet(West Malaysia Only) East Malaysia & Skynet Zone 2 Areas)
Terms & Condition :	I agreed to agneslee321 Purchase & Warranty terms & conditions. Items sold are strictly no returnable or refundable.

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