Pomegranate juice order form
Please fill in your order here
* Required
Name
Shipping address
Contact number
*
Email
*
Order type
200 ml
300 ml (not available)
Quantity ordered
Contain 40 pouches per carton
10 cartons @ RM60 per carton
20 cartons @ RM60 per carton
50 cartons @ RM55 per carton
100 catons @ RM 50 per carton
1000 cartons @ RM40 per carton
2 cartons @RM60 per carton
Other quantities
Please state the amount you want to order here.
Total (In RM - Ringgit Malaysia)
Payment type
Check shall be made payable to Wan Mohd Jauhari Bin Che Wan Ismail Ghani Bank Rakyat Account Number 22-039-108289-3
Bank transfer
Wire transfer
Bank Draft / Check
Cash
Cash check
Trasnport charges
Transport charges shall be born my the buyer, will be quoted separetely or buyer will arrange their own transport.
Yes, I agree to pay for transport charges.
I will arrange my own trasnport.
I hereby declare that the information above are genuine.
Yes
No
Enquiries / Remarks
Please email chewan.enterprise@gmail.com or call 013-2250691