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 SOPHIENISTA Online Order Form
 
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 		| Name:
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 		| Email Address:
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 		| Mobile Number:
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 		| Delivery Address:
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 		| Payment Method:
 | Maybank Online
 
 CIMB Online
 
 Cash Deposit
 
 
 
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 		| Terms & Condition Accepted:
 | Yes
 
 
 
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 		| Order (1) Product Name:
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 		| Order (1) Reference Code:
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 		| Order (1) Quantity:
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 		| Order (2) Product Name:
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 		| Order (2) Reference Code:
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 		| Order (2) Quantity:
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 		| Order (3) Product Name:
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 		| Order (3) Reference Code:
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 		| Order (3) Quantity:
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 If your order is more than 3 different items, kindly send us the next order in a new order form. Delivery fee will be charged one time only. Don't worry!
 
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 Kindly note that payment must be  made to our account within 24 hours in order to secure your purchase.  Kindly send us a payment notification/bank-in slip to sophienista@gmail.com as a payment proof.
 
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 For one last time, ensure your email address, delivery address and phone number is correct before you click the SUBMIT button below.
 
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