2015-01-01

Ephyra Form



Name:
Email Address:
I would like to purchase Ephyra 1 box (30 sachets) + shaker + extra 5 sachets, RM197 (Peninsular)
Ephyra 1 box (30 sachets) + shaker + extra 5 sachets, RM207 (Sabah/Sarawak)
Ephyra 2 box (60 sachets) + shaker + skin bar + Victoria Secret (bodylotion/bodymist/bodywash), RM385 (Peninsular)
Ephyra 2 box (60 sachets) + shaker + skin bar + Victoria Secret (bodylotion/bodymist/bodywash), RM385 (Sabah/Sarawak)
Ephyra 3 box (90 sachets) + shaker + skin bar + extra 3 sachets + Victoria Secret (bodylotion/bodymist/bodywash), RM580 (Peninsular)
Ephyra 3 box (90 sachets) + shaker + skin bar + extra 3 sachets + Victoria Secret (bodylotion/bodymist/bodywash), RM610 (Peninsular)
Quantity
My address with postcode
Contact Number
Remarks