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form pemesanan

Feb 27, '08 5:07 AM
for everyone

Nama :
Alamat :
Kota :
PO. Box :
Telp / HP :
Total pesanan [jumlah barang]
Masukkan / attach gambar yang kalian order
Keterangan :

email ke: windz_fly 205@yahoo.com

Pembayaran melalui transfer ke:
BANK : MANDIRI cab. TM KEBON JERUK
No. Rek : 117 00 0208145 3
A/N : Windi Adelin

Tags: form pemesanan

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MWA Shopz

MWA's posts with tag: form pemesanan