11







Name:




Email Address:




Alamat Penghantaran




No.HPhone




Kod & Warna Songket




Bank Pembayaran

CIMB (08090066228529 - Aznee Fazrein Ramli)

Maybank (158042651125 - Aznee Fazrein Ramli)



Jenis Pembayaran

Bayaran Penuh

Bayaran Secara 2x Ansuran



Adakah anda follower blog Kashfee Anggun?

Ya

Tidak



Jika Ya, Sila tinggalkan link blog anda:
(Cth :
http://kashfeeanggun.blogspot.com)





Dari manakah anda mengenali Kashfee Anggun?*

Blog

Facebook

Rakan

Search Engine (Yahoo, Google etc)

Lain-Lain






This HTML form was created by Freedback.

0 comments:

Post a Comment

 
Songket Moden Copyright © 2010 Templatemo | Converted into Blogger Template by BloggerTheme
This template is brought to you by : allblogtools.com | Blogger Templates