Order Form

Please be sure that you've read the terms and conditions be for placing an order

NOTE!
After submitting the form,
you will be sent automatically to the www.response-o-matic.com,
please ensure you wait until the "sending form" bar finishes, before leaving the page.
Click on "continue" when you're done. Then leave us a feedback on our website.




Name:




Delivery Address




Email Address:




Contact Number




Item Code
(Please state the colour and size of item if there are any)




Payment Method




Deliver Method

Post Laju



Additional Notes










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For further inquiries, please email us @ xo-licious@hotmail.com

It's our pleasure having you as our customer. 
Have a nice day :)