Global Imtiyaaz Muslim Fashion

Borang Tempahan


Borang Tempahan
Nama Penuh
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Kod Baju Yang Dipilih
Kuantiti
Saiz
No Telefon
Email
Bank Pilihan
 Maybank (514477022796 – GLOBAL IMTIYAAZ ENTERPRISE )  
 CIMB (14330002207208 – Ummu Habibah Abd Rahman) 
 Bank Islam (14171020065202-Ummu Habibah A.Rahman) 
 PAYPAL (imtiyazenterprise@yahoo.com.my)  
Amaun yang di Bank In
Tarikh & Masa Pembayaran
Image Verification
captcha
Please enter the text from the image:
[Refresh Image][What's This?]