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Name:
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Email Address:
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Address :
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Contact Number :
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Order Lens (Brand / Color / Degree Left-Right)
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Payment Option
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Maybank
CIMB
Public Bank
Rakyat Bank
Islamic Bank
Western Union (overseas only)
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Shipping Option
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Pos Express (Free)
Pos Laju (Add RM4)
International Courier
Private Courier (DHL,KANGAROO ETC)
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