Work From Home Order Form



Please send me the informational decision package for RM50.00(Malaysians Only). Orders outside Malaysia @ RM80.00 inclusive of courier charges. I understand that if I'm not fully satisfied I may return it for a prompt refund less courier charges incurred.

Name:
E-mail:
Street Address:
City:
State: Zip:
Daytime Telephone:
Evening Telephone:
Fax Number:
Best time to reach you: A.M. P.M.

Preferred Method of Payment: Visa Mastercard C.O.D.
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We will call you to confirm order prior to shipping.

So orders cannot be shipped without a valid phone number.
If you prefer to fax your order, send to (603)-576 4035




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