LenSa LeN's OrDer FoRm~

Myspace Lover Letter

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ARE YOU A SERIOUS BUYER?	YES NO
Email Address:
Name:
CONTACT NUMBER
SHIPPING ADDRESS
Your order (Lens Name, Color & Power) eg. BLYTHEYE BLUE (100)/100) CRYSTAL-I GREY (0/0)
PAYING METHOD	TRANSFER FROM MAYBANK ACCOUNT TRANSFER FROM OTHERS ACCOUNT CASH DEPOSIT MAYBANK
DELIVERY METHOD	POS LAJU
COMMENT:

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