Name:
|
|
Email Address:
|
|
Delivery Address
|
|
Contact Number
|
|
Items
|
|
Delivery Options
|
Pos Laju (BoutiquebaiQ's default delivery)
Others - Please specify in remarks box
|
Remarks
|
|
Payment Option
|
Maybank2U
CIMB Clicks
Cash Deposit
Bank Transfer - (Other than M2U & CIMB Clicks)
Others - Please indicate in remarks box
|
Have you "LIKE" BoutiquebaiQ Facebook?
|
Yes
No
|
Have you "Follow" BoutiquebaiQ's blog?
|
Yes
No
|
Accept Terms and Conditions?
|
Yes
No
|
|
