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Order Form
Qnada's Lovers, please fill out the form below completely
to simplify the process of your order ^_^
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* Indicates required question
NO. REG
Leave it blank (Kosongkan)
Your answer
NAME (NAMA)
*
Your Full Name
Your answer
FULL ADDRESS (ALAMAT LENGKAP)
*
Your Full Address + Kode Pos (bila ada)
Your answer
EMAIL ADDRESS
*
Your answer
PHONE/ HANDPHONE
*
Your answer
items to be purchased (buy)
*
item's name include the code
Your answer
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