Order from Kuala Lumpur

Order from Kuala Lumpur

Pure Water Product Order Form (Kuala Lumpur)

Item marked with (*) are required field.

Company Name / Customer Name*:

'Company Name' Field are required.

Contact Person Name*:

'Contact Person' Field are required.

Contact Number*:

'Contact Number' Field are required.

Address*:

Products Selection

Products:

19L Bottled Distilled Water

Quantity:/per bottle

19L Bottled Distilled Water (Nestle)

Quantity:/per bottle

11.4L Bottled Distilled Water

Quantity:/per bottle

500ml x 24 Bottled Distilled Water

Quantity:/per carton

1.5L x 12 Bottled Distilled Water

Quantity:/per carton

White Coffee

Quantity:/per packets

Teh Tarik

Quantity:/per packet

Altar Rica

Quantity:/per packet

Cappuccino Topping

Quantity:/per packet

Milo Hot Mix

Quantity:/per packet

Tongkat Ali Ginseng Coffee

Quantity:/per packet

Nestea Honey Green Tea Mix

Quantity:/per packet

Coffeemate (Sachets) x 500pcs x 5 gm

Quantity:/per packet

Sugar (Sachets) x 200pcs x 5gm

Quantity:/per packet

Coffeemate by 1 kg

Quantity:/per packet

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