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required information when ordering our merchandise (mandatory)

Name:
Address:
Postcode:
Email Address:
Phone:
Selected Item (and amount):
Size: XS, S, M, L, XL
Amount (in RM)

*please listed alternative in case we are out of stock for your selected items. if your desirable item were out of stock and no alternative were listed.

PAYMENT HAS TO BE MADE TO:
Online Payment (bank in)
Payable to: Fasrulisham Ramly
Maybank Account No: 1622 6323 6064

Preferable to scan and email to: possessedremains@yahoo.com

any questions please do ask us-

FOR MORE INFO:
myspace: http://www.myspace.com/possessedremains
email: possessedremains@yahoo.com