IZZ E-SHOPPE FACEBOOK ORDER FORM- Please fill in the form

Name:
Email Address:
h/p:
address
item(s)no/code/colour
deposit payment thru: RECEIPENT NAME: NORA AZRINA @ NORHASHIMAH BINTI AWANG AHMAD	HSBC - 001-274059-056 BIBD- 00-001-02-0101082
collection area/method:	1st flr, atas guardian pharmacy, soon lee lambak (mon, wed, fri) kiulap ($2)-2.30pm - 3.45pm (monday/wednesday only) mentiri ($2)-after 5.30 pm hua ho tanjung bunut ($3)-friday only fedex-($5)
collection day: 3 times a week only tick at least TWO option	monday- after 5 pm wednesday-after 5 pm friday-am/pm (will inform later)
P/S: no collection on sunday ; IMPORANT: Please do notify me ur deposit/payment detail in DEPOSIT /PAYMENT DETAIL ALBUM here is the link ; http://www.facebook.com/album.php?aid=459350&id=424007925267&l=ab7df2da31 Note:

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