Order Form

Name:
Email Address:
contact no
address
types of sticky to order :	sticky fruits sticky words sticky pebbles sticky pillows
sticky flavours code :	A1 A2 A3 A4 A5 A6 B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 C1 C2 C3 C4 D1 D2 D3
colours ( inside and ouside colours of sticky ) -maximum 3 types colour only
letter/ design background ( 14 characters maximum )
quantity to order	20 gram ( 1kg ) 20 gram ( 2kg ) 20 gram ( 3kg ) 25 gram ( 1kg ) 25 gram ( 2 kg) 25 gram ( 3kg ) 40 gram ( 1kg ) 40 gram ( 2kg ) 40 gram ( 3kg ) 100 gram ( 1kg ) 100 gram ( 2kg ) 100 gram ( 3kg ) 125 gram ( 1kg ) 125 gram ( 2kg ) 125 gram ( 3kg )
paid by :	cimb maybank

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