JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pesanan (Order Form) xstone it
Sila sedia maklumat yang benar ( Please provide accurate information)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Tarikh pesanan (Date of Order)
*
MM
/
DD
/
YYYY
No Telefon (Phone Number)
*
Your answer
Alamat Penerima (Delivery)
*
Your answer
Nama Penerima (Receiver Name)
*
Your answer
url blog
Your answer
Berapa hendak dipesan (untuk semakan stok)(Quantity)
*
Your answer
Cara pembayaran (pay t0) * please keep your resit for verification.
*
CIMB (7012862976 ) MOHD NASRI ALI
RHB (15401300068772 ) MOHD NASRI ALI
Paypal (
nasri81@gmail.com
)
Pengesahan pembayaran (verify it)
whatapps (+60183176244 )
email (
nasri81@gmail.com
)
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
