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BORANG PESANAN PRODUK


Arahan Pengisian Borang:


PILIHAN RAWATAN

Rawatan CVT Rawatan Ahlusyifa Rawatan Bersepadu

PRODUK

BIL
PRODUK
HARGA SEUNIT
KUANTITI
JUMLAH
1 Alga For Men RM 277.00 x = RM
2 Alga For Women RM 130.00 x = RM
3 Aromaterapi Vibration RM 65.00 x = RM
4 NW Vibration RM 30.00 x = RM
5 Garam Booster RM 30.00 x = RM
6 Tea Tree RM 50.00 x = RM
7 Diamond Black Seed RM 30.00 x = RM
8 Vibration Liquid Chrolophyll RM 48.00 x = RM
9 Jam ke Kanan RM 680.00 x = RM
10 E-Quotient RM 139.00 x = RM
  RM


MAKLUMAT PERIBADI

Name
Title
Company
Address
E-mail
Phone H/P:

PEMBAYARAN

Cek

Akaun Bank Bank Simpanan Nasional (BSN)

  • No akaun - 1310328096761 (sila hantar slip urusniaga - produk akan dihantar setelah penerimaan bayaran disahkan)