HERTRADE Plushie Pre-Order Form

HERTRADE Plushie Pre-Order Form
Bank Information

Beneficiary Name: Persatuan Usahawan Wanita Cemerlang Pulau Pinang
Bank Name: Public Bank Berhad
Bank A/C No: 3235287713
Swift Code: PBBEMYKLXXX
Payment Reference: HerTrade Plushie

Whatsapp: +6011 1872 2998
Contact Email: elite.pewa@gmail.com
Full Name*

First NameLast Name
Email*
example@example.com
Mobile Phone No
(60)11-888 8888
Upload Proof of Payment (only support jpg, jpeg, png, tiff, gif)*
Should be Empty: