Purchase Order Form         

Name:
Email Address:
Contact Number (Mobile):
Delivery Address:
Postcode
State:	Johor Kedah Kelantan Kuala Lumpur Malacca Negeri Sembilan Pahang Perak Perlis Penang Sabah Sarawak Selangor Terrengganu --------------------------- Singapore
Purchase Order Items:
Purchase Order Example:___________________________CM3829 - Red (1pc), R92903 - Blue (1pc), CM3534 - Coffee (1pc)
Bank Payment Institution:	AmBank Public Bank
Payment Method:	Online Banking Transfer / GIRO ATM Cash Deposit
Goods Delivery Method:	Pos Ekspres (Less than 500g) Pos Laju Domestic Parcel (Min 2kg)
Additional Information: