COMFIRM PAYMENT

PAYMENT TO ACCOUNT








RUSIDAH BINTI KANDAR
Maybank Account Number: 1621 4316 5529

MD RAFAI BIN KOMTOM
Maybank Account Number:   1621 4316 5542

 RUSIDAH BINTI KANDAR
CIMB Account Number:


MD RAFAI BIN KOMTOM
CIMB Account Number:   1215 0067 6985 29

Credit Card / Paypal
Email: womenshoppemall@gmail.com

ORDER AND PAYMENT COMFIRMATION FORM

Please fill out the form below complete with a true and valid data only.

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  Name
  
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  Company
  
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  Address
  
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  Email
  
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  Phone Number
  
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  Code Ordered / colour / total
  
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  Include quantity next to item seperated by a comma. (i.e. item, 1)
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  Total Amount ( RM )
  
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  Payment bank: CIMB / MAYBANK / PAYPAL / WESTERN UNION
  
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  Your Bank name & Account Number
  
  <br />
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  Date payment
  
  <br />
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  Time payment
  
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  Proof of payment transactions
  
  <br />
  

  please fax / email your bank slip or comfirmation payment to womenshoppemall@gmail.com
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  Comments and Questions
  
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