Kindly fill in the form below to order the Century Ride 2007 photos.
4R size photo = RM5.00
8R size photo = RM20.00
Additional charges of RM5.00 for those outside Ipoh.

Name:  
Address:  
 
 
Postcode:  
Photos to order:  

separated with comma (Eg. IMG 6174 1, IMG 6181 1, IMG 6259 1)
 
Tel:   (H)                (HP)
 
E-mail:  

NOTE: Incomplete order form will NOT be accepted.