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Alpha DA-900
Single-Gear Juicer

Purchase Order Form

For purchases in USA, please go to the USA Online Shopping

For purchases in UK, please go to the UK Online Shopping

For Malaysia, Singapore and Brunei:

To ensure that your order is processed quickly, please check that all your information provided on this page are entered correctly. Wrong entry will delay delivery of your goods.

At this point, we are only accepting purchases by either cheque or cash bank-in. For a different mode of payment, please contact me at +6012-6770 550 (Malaysia) or email me.

Once cheque is cleared, the goods will be delivered to your given address the next working day (Peninsular Malaysia). 3-5 days to East Malaysia and other locations. Work days are Mondays to Fridays, off on Saturdays, Sundays and public holidays.

Please fill in the form below accurately to avoid delay in delivery of goods. There is no delivery charge to anywhere in Malaysia. After you click submit, you will be provided bank-in details and we will call you to confirm your purchase.

Alpha DA-900 Juicer
Purchase Order (Step 1 of 2)

Please note that all fields followed by an asterisk must be filled in.

Quantity*
Quantity*

Add slicer/ice-shaver (optional)?*
Add slicer/ice-shaver (optional)?*

Full Name*
Full Name*

Address To Deliver Goods To (No PO Box Address)*
Address To Deliver Goods To (No PO Box Address)*

Home Phone No.*
Home Phone No.*

Mobile No.*
Mobile No.*

E-mail Address*
E-mail Address*

Health Issue(s), If Any

Special Instruction

I would like to receive future promotion email

	Yes
	No

Please enter the word that you see below.

Thank you for doing business with www.juicing-for-health.com

Sara Ding

Alpha DA-900Single-Gear JuicerPurchase Order Form

Alpha DA-900
Single-Gear Juicer

Purchase Order Form