.: 2012:Long Dress & Jumpsuit

ORDER FORM

Name:
Address
Poscode
Handphone number
Email Address:
URL Link of the items
Code and color of the item
De Closette membership?	YES NO
If YES,write the Membership code number
Paid within	24 hours 3 days
Paid via	Maybank CIMB
Agree with our Terms & Conditions	YES NO
THANK YOU FOR SHOPPING WITH US.PLEASE COME AGAIN AND DO SUPPORT US.