Nurwiyah Boutique: Exchange Banner

Reseller Form

Submit order apabila customer anda sudah membuat pembayaran bersama-sama bukti sekali. Tiada bukti pembayaran order tidak akan diproses. TQ
Name Customer:
Email Reseller:
No. Fon Customer:
Address Customer:
Code Item & Product:
Deliver Method:	Poslaju (WM) Poslaju (EM) Poslaju (International) Parcel (International)
Payment Method:	Maybank RHB Bank Rakyat Western Union (International)
I agree with all terms and conditions set by the Nurwiyah Boutique. Any problems arising in the future, I will be responsible and will not blame any party related directly or indirectly:	YES
Reseller (Name & No.Fon):
Thanks Dear Darling... Your order will be process until 24 hours on working days (MON-FRI / 9am-5pm).