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This Form For Seriouse Buyer Only. Read Terms & Conditions (T&C) Before Place Order And Submit This Form. Yours Cooperation We Will Be Appreciate. TQVM
Borang Ini hanya untuk pembeli yang benar2 sirius. Sebelum Mengisi Borang dibawah sila pastikan anda membaca terlebih dahulu Terma & Syarat. Kerjasama anda amatlah kami hargai.
Whats Your Category / Apa Kategori Anda
REGULAR CUSTOMER
NEW CUSTOMER
DROPSHIP AGENT
Customer ID @ Agent ID / ID Pelanggan @ ejen
Date & Time / Tarikh & Masa
*
DD
/
MM
/
YYYY
Name / Nama
*
First
Last
Email
*
eg : sekian@sekian.com
Phone / Telefon
Address / Alamat
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Product Type / Jenis Produk
Clothes / Pakaian
As Seen On TV
Food or Cookies / Makanan atau Biskut
Healthy Beauty / Kesihatan Kecantikan
Printing Design / Rekabentuk Percetakan
Product Name & Quantity / Nama Produk & Kuantiti
*
eg ; Universal Gyro Bowl - 5 Units
Delivery Method / Kaedah Penghantaran
*
-
POS LAJU - SEMENANJUNG MALAYSIA
POS LAJU - SABAH & SARAWAK
POS LUAR NEGARA
SELF PICKUP (MELAKA & CHERAS)
COD - WITH 50% DEPOSIT ON SELECTED AREA
Submission Date / Cadangan Tarikh Penghantaran
*
eg ; seminggu sebelum raya / 3hb jun 2012 / bila2 free
How Do You Know About Us / Bagaimana Anda Tahu Mengenai Kami
*
FACEBOOK
BLOGGER
KAWAN-KAWAN
GOOGLE
MUDAH.MY
PENULIS SENJA
Comment or Extra Info / Komen atau Info Tambahan
Term & Conditions / Terma & Syarat
*
I will agree with term & condition all entirety which already by ETOI AND KOZEK COLLECTIONS party. (We’re not responsible if u didn’t read terms & conditions before u submit this form
Saya Akan Bersetuju Dengan semua Terma & Syarat yang telah ditetapkan oleh pihak pengurusan ETOI and KOZEK COLLECTIONS. (Kami tidak bertanggungjawab jika anda tidak membaca TERMA & SYARAT dengan teliti sebelum mengemukakan borang ini
-->Please wait for confirmation email from the etoi and kozek collections first. We will reply within 24 hours. All stock information and method of payment will be sent to you via email as confirmation of order.
-->Sila tunggu email pengesahan daripada pihak etoi and kozek collections terlebih dahulu. Kami akan reply dalam masa 24 jam. Segala maklumat stock dan keadah pembayaran akan di hantar kepada anda menerusi email sebagai pengesahan pesanan.
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