D'Iznie Order Form

Customer: Returned Customer
New Customer
Full Name:
Address:
Contact No.:
E-mail Address:
Product Code & Quantity:
Alternative Code (jika brg yg saya nak tiada, pilih code ni) :
Payment Method: Maybank
CIMB
Payment Through:
I will pay latest by (before/on):

Postage Charge (Pos Laju):

RM6.00 (Semenanjung)

RM9.00 (Sabah & Sarawak)

I agree with D'Iznie term & condition:

Get your own free form like this one.

Tracking Nombor

 Dress/Skirt/ Cardingan/ Jacket/ Jumpsuit

Nor Saidatu ~ Jacket/Skirt Chifon - EM 023076807 MY
Puteri Hidayah ~ Skirt Chifon ~
Sabrina Bee ~ Skirt Chiffon ~
Saidannafisaa ~ Skirt chifon ( mustad/ coral pink - ED 903847744 MY
NorFaradilla ~ Jacket - ED 903847700 MY



 _____________________________________________

VCO 


postage ..1 - 5 kotak = RM5
6 - 7 kotak = RM7
8 - 10 kotak = RM10


Mei 2011 

Pos Laju
3 kotak ~ Suhaila Zain ( KT ) - ED 903847262 MY
6 kotak ~ NurHana Afifa ( PP ) - ED 903847452 MY
1 kotak ~ Nor Harmiza (KDH ) - ED 903847506 MY


 June 2011
2 kotak ~ Siti Rahmayanti ( p/DLM ) - ED 903847585 MY
1 kotak ~ Zunaida Ismail ( S/Alam - ED 903847625 MY
2 Kotak ~ Nor Faezah ( Melaka ) - ED 903847660 MY

Julai 2011

4 kotak ~ HArmiela HAmdan (Penang) ~ Ed 903847418 MY
2 kotak ~Mazrina Saat ( Bentong) ~ ED 903847832 MY
2 Kotak ~ Juwariah Mohammad ~ EM 165104413 MY

C.O.D
2 kotak ~ Mia ~ Setapak
1 kotak ~ Sarah ~ Batu caves
1 kotak ~ Fatin ~ Selayang
1 kotak ~ Iqa ~ Jln Ipoh
1 kotak ~ Suzi ~ Setiawangsa
2 kotak ~ Maz ~ C.O.D sendiri
2 kotak ~ Zia ~ Rawang
1 kotak ~ Atika ~ Selayang
1 kotak ~ Di'a ~ Selayang
1 kotak ~ Arina ~ Ukay Perdana
 ___________________________________________________________________

Naturactor

Pos Laju

2 kotak ~ Nur Tasnim - ED 903847510 MY
1 kotak - Engku Kamanurul - ED 903847758 MY
2 kotak ~ Noor Farihan - EM 020806507
1 kotak ~ Sabarina - ED 903847523 MY
C.O.D 

1kotak ~ Wana