Order Form

Fill out the form for booking. 

ACCOUNT NO will only be given through EMAIL. 

PLEASE BE PATIENT waiting for our reply to your email!

You want to make: 
Order
Booking
Question

Name : 
First Last


Email :

Address :

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

 Country

Contact No :

Order Item :
Polka Dot Dress
Polka Dot Shoes
Polka Dot Beg


Posting way : 
Pos Laju peninsular Malaysia RM 5
Pos Laju Sabah / Sarawak RM 8
Others ( Oversea )


Payment Method :
Cimb Click
Maybank2U
Bank Islam Online
Counter Bank
Cash Deposit
Transfers Bank

Term & Condition :
http://ekinamz.blogspot.com/p/term-condition.html

You agree to the terms and conditions ?
 Yes, I agree
 No

Thanks for making such a reservation with us.

After you click 'SUMMIT FORM' wait for reply from us.

Check your email within 24 hours after the order is sent.

Your Order Will Be Process ASAP.