Cinta Gold and Gyenn Birdnest Mooncake Package
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Packate
*
RM88 Pkg (Mooncake only)
RM188 Pkg (Mooncake w Gold)
RM68 Pkg (5 units x Mooncake only)
RM168 Pkg (5 units x Mooncake w Gold)
Payment Slip (Pls attach): Beneficiary Name: CINTA GOLD GLOBAL PLT Bank Name: Hong Leong Account Number: 183 000 56 457
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: