Baju Factory Outlet
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DATA PEMESAN
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
-
-
Email
*
SEX
*
Male
Female
DATA PESANAN
Tulis detail pesanan yang diinginkan :
*
SIZE
*
XS
S
M
L
XL
AGE
*
Baby ( 0-24m )
Kids ( 3-16yr )
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Categori
*
Kaos Sulam
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Pembayaran
*
Bank BCA
Bank Mandiri
