Ordering Form

If you have any inquiries, need to re-pack the beverages according to your needs, please do not hesitate to contact us at:017-6065174

Please fill in your order form

Name:
Contact No:
Address to send order:
Your Order	Munira Mixed 24 300ml pack Munira Mixed 12 1.5L pack Munira Stamina Isotonik Drink
Order Quantity	1 pack 2 packs 3 packs 4 packs 5 packs
Order Quantity if you need to re-pack with different taste
Mode of Payment	Cash Cash On Delivery Bank-In
Delivery Order	Immediately Today Next Week Next Month
Mode of Delivery	Pick-up by Myself Delivery to Me
Email Address:

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