Form

Name:
Email Address:
Hp Number :
Type of Order & Design:
Pickup Date:
Notes :

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Wednesday 15 May 2013

CONTACT

Feel free to call or stop in and place your order at :

The One
1-1-15 Tingkat Mahsuri 4
11950 Bayan Lepas
Penang

H/p : +60164253892 or +6012-4738904
Email : wheatconnection@gmail.com


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