Order Form

Name:
Age:
Gender:	Male Female
Email Address:
Address:
Zip Code:
City:
State:
Tel (Mobile):
Tel (Office):
List of item : (Product Code / Quantity) (eg. C01/1 , D03/2)
Payment Method:	Cash

This HTML form was created by Freedback.





* Due to this is a practical blog of students, temporally we only receive cash and face to face transaction, sorry for any inconvenience.
* Please fill in all field with the correct information, we cannot respond to you if the information is wrong especially email address.
* We will response to you soon once we receive the form from you and reply you to confirm your order.
* Email us at teddyncard@gmail.com if you have any other inquiry on our products or services. 


Thanks and have a nice day ;)