Damsel's Yard BIG Lens Order Form

NAME *

ADDRESS

EMAIL / FB PROFILE LINK *

HP NUMBER

LENS ORDER (code, colour, power, quantity)

e.g Super Nudy, Grey, 100, 1pair

POSTAGE (no COD)

PosLaju WM (1-5pairs) FREEPosLaju EM (1-5pairs) +RM2PosExpress (1-3 pairs) not recommended

PAYMENT BANK

MAYBANK (preferred) CIMB

REMARK (Fill for Inquiries)

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