ORDER FORM

Full Name:
Email:
Email (verify):	(please insert email again to ensure it is correct)
Handphone number:
Items to order:	(Key-in item code, colour, quantity, and size (if any). List one item per line or separate with comma).
Coupon/ Voucher (if any):
Payment method:	CIMB- cash deposit machine/bank counter CIMB-  ATM transfer CIMBclicks-  internet banking Maybank- cash deposit machine/bank counter Maybank- ATM transfer Maybank2u- internet banking Bank Islam Interbank - other than CIMB, Maybank, or Bank Islam PayPal (extra charge RM2+3.4%) (NMB prefers CIMB. Payment instruction and account number will be provided when we respond to your order via email).
Address for Delivery:
How did you hear about NMB?	Friends  Facebook  Search engine; google, yahoo, bing  Personal Bloggers  Other blogshops  Magazine, newspaper, TV.
Kindly check your email within 2 hours if you submit the form during working hours, or check your email on the next working day if you submit the form at night/weekends. NMB online working hours: Mon-Fri 9am to 6pm.