Order Form

Recipient Name:

Contact Number:

Email Address:

Car Branding:

Crystal Color* / Solid Metallic:

Color Serial Number

Please refer to our FAQ Help Centre if your color code doesn't match ours.

Collecting Method :

Delivery Address for Pos Laju:


Total Banked in Amount:

Banked in to:

For E-Banking: Account Name

For Manual Banked in: Date & Time According to the receipt

Remarks :

Remarks example, Self collect date and time.