JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Online Order Form
Untuk proses tempahan sila bagi maklumat penghantaran dan item yang nak ditempah seperti di bawah :-
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama :
*
nama penuh seperti dlm kad pengenalan.
Your answer
No. HP :
*
utk tujuan pos cth : 60182824617
Your answer
Alamat :
*
utk tujuan pos.
Your answer
Senarai Item :
*
masukkan sekali kod item barang
Your answer
Maklumat Pembayaran seperti :-
*
Tarikh : Masa : Jumlah Pembayaran : Akaun Bank :
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
