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Nama Syarikat
*Nama
Jawatan	Tip: How to create a free php form Ever needed to create a php form for your website but had trouble? We recommend Emailmeform, a service that allows you to create a php form easy in a few steps. No need to learn HTML or PHP!
*No. H/P.
Alamat Syarikat
No. Tel.
No. Fax.
E-mail
Laman Web
Produk / Perkhidmatan
Logo Syarikat (Jika Sedia ada)	200kb.max.
Design Kad Syarikat (Jika Sedia ada)	200kb.max.
Kod Harga Kad	H01 1Side print RM15/Box H01 2Side Print RM19/Box H02 1Side Print RM16/Box H02 2Side Print RM20/Box H03 1Side Print RM19/Box H03 2Side Print RM24/Box H04 1Side Print RM80/2Box H04 2Side Print RM89/2Box H05 1Side Stamping RM20/Box H05 2Side Stamping RM40/box
Kod Design Kad (Pilihan)
Kod Logo (Pilihan)
Catitan
Bahagian Belakang Kad (Pilihan) Isikan Yang Perlu Sahaja.
Nama Syarikat
Nama
Jawatan
No. H/P.
Alamat Syarikat
No. Tel.
No. Fax.
E-mail
Laman Web
Produk / Perkhidmatan
Logo Syarikat (Jika Sedia ada)	200kb.max.
Design Kad Syarikat (Jika Sedia ada)	200kb.max.
Kod Design Kad (Pilihan)
Kod Logo (Pilihan)
Catitan
*Kuantiti (Per Box)
*P/S:Pastikan Tanda Di isi betul.**

* Selepas membuat pembayaran, sila fax atau email slip bank kepada fax: 03-33424927 email: grazinez@yahoo.com