Online Order Form:

Name:
E-mail Address:
Mailing Address:(pls make sure there is someone to receive the parcel)
Mobile number:
Band design detail: (e.g. design:flat/finishing:mirror/band width:6mm/stone sets:1 diamond/engrave"I Love You")
Your finger circumference reading in mm:
Your payment method: Bank in Cash (you will receive an e-mail notification within 24 hrs)
Bank Transfer (once we confirm payment has been received, you will receive an e-mail within 48 hrs)
Via Paypal (please provide us with the reference number)
Your payment details or coupon number:(payment amount in RM/date/time/any reference number)

Form provided by Freedback.