| Name:
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| Email Address:
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| Shipping Address:
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| Postcode:
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| Handphone no:
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| item 1 (code/size/color/quantity)
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| item 2 (code/size/color/quantity)
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| item 3 (code/size/color/quantity)
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| item 4 (code/size/color/quantity)
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| item 5 (code/size/color/quantity)
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| note to Abstrax:
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| Shipping method:
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| i'm willing to pay:
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| payment method:
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| Agreed with term and condition:
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|
