BORANG PENGEDAR/DEALER FORM |www.boutiquepalace.com

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BoutiquePalace.com DEALER FORM | BORANG PENGEDAR | WHOLESALE PURCHASE
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**Shop from comfort of your home,any where in the world**:
**Boutiquepalace delivers right to your doorstep..please fill up the form accordingly**

Language Option: English
BM

DATE of Today:

Full Name:

Valid Email Address:

Your website/URL:(if any)

Mailing Address: (*This is delivery address):

Phone Number:

Berminat jadi pengedar untuk produk: I Would like to become a dealer of :

Kuantiti ingin dibeli(**jika lebih dari kuantiti minimum yang ditetapkan): Quantity to purchase(**if more than stated minimum):

Your Option:

Confirm Mode of Payment: Cara bayaran anda: online banking
cash deposit /direct bank-in
western union
credit card-paypal-
money order

preferred bank (**for Online banking or cash deposit option only):

Your preferred Post/delivery method : POST LAJU
E-PARCEL

How did you hear about us? Bagaimana anda mengetahui B.palace?

I have certify that I have read,understood and agreed the Boutiquepalace.com terms and conditions that applied: YES

**We expect a prompt response from you as boutiquepalace will send you email of confirmation.Thanks..

**Sila reply email yang akan di hantar oleh pihak Boutiquepalace sebagai pengesahan.Terima Kasih.

-Harga di atas tidak temasuk caj penghantaran (Kos Pos adalah berdasarkan timbangan berat)
-The above price: Not include shipping fee-**fee based on product weight)
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Language Option:	English BM
DATE of Today:
Full Name:
Valid Email Address:
Your website/URL:(if any)
*Mailing Address: (This is delivery address):**
Phone Number:
Berminat jadi pengedar untuk produk: I Would like to become a dealer of :
Kuantiti ingin dibeli(jika lebih dari kuantiti minimum yang ditetapkan): Quantity to purchase(if more than stated minimum):
Your Option:
Confirm Mode of Payment: Cara bayaran anda:	online banking cash deposit /direct bank-in western union credit card-paypal- money order
preferred bank (for Online banking or cash deposit option only):**
Your preferred Post/delivery method :	POST LAJU E-PARCEL
How did you hear about us? Bagaimana anda mengetahui B.palace?
I have certify that I have read,understood and agreed the Boutiquepalace.com terms and conditions that applied:	YES
We expect a prompt response from you as boutiquepalace will send you email of confirmation.Thanks.. Sila reply email yang akan di hantar oleh pihak Boutiquepalace sebagai pengesahan.Terima Kasih.