Order Form - A/C Transfer

Name:
Email Address:
Delivery Address:
Tel No/ Mobile No:
Products to order: Item (1) -AFDHAL apricot seeds capsule (RM93.00)
Item (2)- AFDHAL apricot seed powder (RM40.00)
Item (3) - AFDHAL ORADALIN apricot seed extract - (RM169.00)
Item (4) - AFDHAL B17 powder (RM160.00)
Item (5) - AFDHAL raw apricot kernels 500g (RM50.00)
Item (6) - AFDHAL DETOX Plus (RM85.00)
Item (7) - AFDHAL Bromelain with Quercetin (RM98.00)
Item (8) - AFDHAL GanoBit17 (RM85.00)
Item (9) - AFDHAL Nature Sweet Stevia extract sweetener (RM30.00)
Item (10) - AFDHAL Goat Milk Premium (RM59.00)
Item (11) - AFDHAL Classy Goat Milk (RM59.00)
Item (12) - AFDHAL apricot soap (RM35.00)
Item (13) - AFDHAL Beauty soap (RM45.00)
Item (14) - AFDHAL Day & Night beauty cream (RM69.00)
Item (15) - AFDHAL Black seed oil (RM45.00)
Item (16) - AFDHAL Young Barley Leaves powder (RM49.00)
Item (17) - AFDHAL Young Barley leaves capsule (RM57.00)
State the item No. and the quantity e.g. Item (3) - 3x
Postage (RM): Note: Please get total postage cost from us for your total order.
Method of Payment (A/C Transfer) Maybank A/C No: 564799117353 - MADANI DISTRIBUTION
Bank Islam A/C No: 14162020064216 - AB AZIZ BIN ABDULAH
Amount Paid: RM
Payment details (proof) e.g transaction no:

Please submit this form only AFTER the payment has been made into our bank account. Thank You for your cooperation.

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