Bloom Run 5km & 21KM

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Perhatian! Sila lengkapkan borang di bawah.

Ruangan yang wajib diisi

BUTIRAN PEMBELIAN

Produk	Kuantiti	Harga (RM)
Full Kits \| Normal Price - RM65	BELUM MULA
Full Kits \| Short Sleeve \| Promo
Full Kits \| Long Sleeve \| Promo
T-Shirt + Run \| Normal Price - RM59	BELUM MULA
T-Shirt + Run \| Short Sleeve \| Promo
T-Shirt + Run \| Long Sleeve \| Promo
Medal + Run \| Normal Price - RM45	BELUM MULA
Medal + Run \| Promo
JUMLAH



Kos Penghantaran Semenanjung Sabah & Sarawak
JUMLAH KESELURUHAN (RM)
Caj Perkhidmatan Peniaga (RM)

Nama

Emel

Sahkan Emel

Nombor HP

Alamat

Poskod

Bandar

Negeri

Negara

Kaedah Pembayaran

Perbankan Dalam Talian (Billplz)

Perlukan Bantuan?

Produk	Kuantiti	Harga (RM)
Full Kits \| Normal Price - RM65	BELUM MULA
Full Kits \| Short Sleeve \| Promo
Full Kits \| Long Sleeve \| Promo
T-Shirt + Run \| Normal Price - RM59	BELUM MULA
T-Shirt + Run \| Short Sleeve \| Promo
T-Shirt + Run \| Long Sleeve \| Promo
Medal + Run \| Normal Price - RM45	BELUM MULA
Medal + Run \| Promo
JUMLAH