Order Form

Your Status?	Customer Agent
Name:
Contact No.
Email Address:
Birth of Date:
Country:	Malaysia Indonesia Singapore Australia United States United Kingdom Canada New Zealand Philippines Other (Pls contact us to check availability)
Mailing Address:
Product code/degree/quantity ex. CK109/0.9/2
Payment Method	Local Bank Transfer (Maybank/CIMB) Credit Cards Paypal(Recommended for International Buyers) Telegraphic Transfer Western Union
Additional Information:
For Bulk Order
Agreement:	I have read, understand and agreed to GLS Terms & Conditions.