Order Form♥

Name:
Contact Number:
Email Address:
Item(s) Name:
Total Amount:
Payment And Collection Method:	MeetupSelf Collection
Preferred Meetup Place:	BedokTanah MerahSimeiEunosKembanganPaya LebarTampinesPasir Ris
Enquiries(if any):
	I have read and agreed to the Terms and Conditions of Kumouchi

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