orders form

Payment must be made to UiTM BURSARY

(BIMB-Bank Islam Malaysia Bhd Account Number: 12038010106004)

Title, (ISBN/ISSN) & Quantity of Book:
Name of Customer/Company:
Email Address:
Address (For shipping use)
Telephone No:
Fax No:
select your Payment Method: Cash Deposit
Online Transfer
ATM Transfer

Click here to create your own form.

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Order Form

Payment must be made to UiTM BURSAR

(BIMB-Bank Islam Malaysia Bhd Account Number: 12038010106004)

Title, (ISBN/ISSN) & Quantity of Book:
Name of Customer/Company:
Email Address:
Address (For shipping use)
Telephone No:
Fax No:
select your Payment Method: Cash Deposit
Online Transfer
ATM Transfer

Create a web form here