Order Form  





Name:



Facebook ID:



Contact No:



Address:



Email Address:



Model No (e.g:COYOTE 00501-0872):



How many pairs:
1

2

3

4

5

Size (eg: W34 L32):



Payment Method:
Bank In

Cash On Delivery (C.O.D)

C.O.D Collection Spot (for COD Only):



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