Jumat, 12 Oktober 2012

Pembuatan Form

Ordered Form

First Name :
Last Name :

Enter your email :
Re-enter your email:

I am :
Male
Female

Ordered :
DVD-CD (Album) version A
DVD-CD (Album) version B
DVD-CD (Album) version C
DVD (Holiday in Saipan)
DVD (Mirotic Concert)

Where are you from?


Your Account Number:

Your comment:


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