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Delfirastyle Agent Form
Please fill in the folllowing form if you are SERIOUSLY interested to be one of our AGENT. You may also email us at or you may wasap at 014-3620167 for full terms and conditions being part of our team.


(p/s: pls do inform that we don't pick up any dropshipper for our products)

Name As Per I/C : *
Identity Card No : *
Gender : *
Email *
Address *
Phone number *
FB Fan Page Address :
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