Matkondom ~ Borang Pesanan
Nama Pelanggan
*
Jantina
*
Please Select
Lelaki
Perempuan
Umur
*
Nombor Telefon
*
-
Area Code
Phone Number
Alamat Penerima
*
E-Mail
*
Durex Kod Barangan & Kuantiti
Rows
Kuantiti
Close Fit
1
2
3
4
5
6
7
8
9
10
11
12
Fetherlite Ultima
1
2
3
4
5
6
7
8
9
10
11
12
Tingle
1
2
3
4
5
6
7
8
9
10
11
12
Love
1
2
3
4
5
6
7
8
9
10
11
12
Pleasuremax
1
2
3
4
5
6
7
8
9
10
11
12
Extra Safe
1
2
3
4
5
6
7
8
9
10
11
12
Sensation
1
2
3
4
5
6
7
8
9
10
11
12
Play O Gel
1
2
3
4
5
6
7
8
9
10
11
12
Play Warming
1
2
3
4
5
6
7
8
9
10
11
12
Play Soothing Aloe
1
2
3
4
5
6
7
8
9
10
11
12
Play Tingle
1
2
3
4
5
6
7
8
9
10
11
12
Play Massage 2in1
1
2
3
4
5
6
7
8
9
10
11
12
Play Sweet Strawberry
1
2
3
4
5
6
7
8
9
10
11
12
Durex Vibrator
1
2
3
4
5
6
7
8
9
10
11
12
Lingerie Kod Barangan & Kuantiti
Rows
Kuantiti
L1
1
2
3
L2
1
2
3
L3
1
2
3
L4
1
2
3
L5
1
2
3
L6
1
2
3
L7
1
2
3
L8
1
2
3
L9
1
2
3
L10
1
2
3
L11
1
2
3
L12
1
2
3
L13
1
2
3
L14
1
2
3
L15
1
2
3
L16
1
2
3
L17
1
2
3
L18
1
2
3
Seksi Seluar Dalam Kod Barangan & Kuantiti
Rows
Kuantiti
P1
1
2
3
P2
1
2
3
P3
1
2
3
P4
1
2
3
P5
1
2
3
Nipple Cover Kod Barangan & Kuantiti
Rows
Kuantiti
NC1
1
2
3
Komen
Hantar kepada Matkondom
Should be Empty: