tag:blogger.com,1999:blog-8173623217694445442023-11-15T07:21:26.004-08:00BEAUTIFUL HIJABAnonymoushttp://www.blogger.com/profile/03346080459002704561noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-817362321769444544.post-79057347027079081972013-09-03T05:47:00.001-07:002013-09-03T05:47:59.667-07:00<!-- SCM Music Player http://scmplayer.net -->
<script type="text/javascript" src="http://scmplayer.net/script.js"
data-config="{'skin':'skins/aquaBlue/skin.css','volume':11,'autoplay':true,'shuffle':true,'repeat':1,'placement':'top','showplaylist':false,'playlist':[{'title':'','url':'http://www.youtube.com/watch?v=JE1S8-e7J8k'},{'title':'','url':'http://www.youtube.com/watch?v=7goSVFKDwQk'},{'title':'alyah - kau yang terindah','url':'http://www.youtube.com/watch?v=_20lQxNAfRo'}]}" ></script>
<!-- SCM Music Player script end -->
Anonymoushttp://www.blogger.com/profile/03346080459002704561noreply@blogger.com0tag:blogger.com,1999:blog-817362321769444544.post-42964931230269225492013-01-15T22:48:00.005-08:002013-01-15T22:50:48.460-08:00<!-- Begin Freedback Form -->
<!-- DO NOT EDIT YOUR FORM HERE, PLEASE LOG IN AND EDIT AT FREEDBACK.COM -->
<form enctype="multipart/form-data" method="post" action="http://www.freedback.com/mail.php" accept-charset="UTF-8">
<div>
<input type="hidden" name="acctid" id="acctid" value="qhg9131k8kw74xhc" />
<input type="hidden" name="formid" id="formid" value="1158352" />
<input type="hidden" name="required_vars" id="required_vars" value="name,email" />
</div>
<table cellspacing="5" cellpadding="5" border="0">
<tr>
<td colspan="2" valign="top">
<strong><p>ORDER FORM</p></strong>
</td>
</tr><tr>
<td valign="top">
<strong>Anda Ingin membuat</strong>
</td>
<td valign="top">
<select name="field-ada817d67ff4221" id="field-ada817d67ff4221">
<option value="Penambahan order">Penambahan order</option>
<option value="Pertanyaan">Pertanyaan</option>
<option value="Pertanyaan Borang">Pertanyaan Borang</option>
<option value="Penambahan Order">Penambahan Order</option>
</select>
</td>
</tr>
<tr>
<td valign="top">
<strong>Name:</strong>
</td>
<td valign="top">
<input type="text" name="name" id="name" size="40" value="" />
</td>
</tr>
<tr>
<td valign="top">
<strong>Email Address:</strong>
</td>
<td valign="top">
<input type="text" name="email" id="email" size="40" value="" />
</td>
</tr>
<tr>
<td valign="top">
<strong>Alamat</strong>
</td>
<td valign="top">
<input type="text" name="field-008189597338d18" id="field-008189597338d18" size="40" value="" />
</td>
</tr>
<tr>
<td valign="top">
<strong>Poskod</strong>
</td>
<td valign="top">
<input type="text" name="field-4e05527a177f725" id="field-4e05527a177f725" size="40" value="" />
</td>
</tr>
<tr>
<td valign="top">
<strong>Nombor Telefon</strong>
</td>
<td valign="top">
<input type="text" name="field-91bd7b0d64f778e" id="field-91bd7b0d64f778e" size="40" value="" />
</td>
</tr>
<tr>
<td valign="top">
<strong>Barang Yang Ingin Dibeli</strong>
</td>
<td valign="top">
<textarea name="field-3350294d1706114" id="field-3350294d1706114" rows="6" cols="40"></textarea>
</td>
</tr>
<tr>
<td valign="top">
<strong>Penghantaran</strong>
</td>
<td valign="top">
<input type="radio" name="field-371d61632efdda8" id="field-371d61632efdda8_0" value="Poslaju Semenanjung M'sia" /> Poslaju Semenanjung M'sia<br/>
<input type="radio" name="field-371d61632efdda8" id="field-371d61632efdda8_1" value="Poslaju Sabah Sarawak" /> Poslaju Sabah Sarawak<br/>
<input type="radio" name="field-371d61632efdda8" id="field-371d61632efdda8_2" value="Poslaju ke Luar Negara" /> Poslaju ke Luar Negara<br/>
<input type="radio" name="field-371d61632efdda8" id="field-371d61632efdda8_3" value="" /> <br/>
</td>
</tr>
<tr>
<td valign="top">
<strong>Tempoh Pembayaran</strong>
</td>
<td valign="top">
<select name="field-cfc85ba68e1bc73" id="field-cfc85ba68e1bc73">
<option value="saya akan bayar dalam masa 2 jam">saya akan bayar dalam masa 2 jam</option>
<option value="saya akan bayar dalam masa 24 jam">saya akan bayar dalam masa 24 jam</option>
<option value="saya akan bayar lambat ( sila nyatakan sebab )">saya akan bayar lambat ( sila nyatakan sebab )</option>
<option value=""></option>
</select>
</td>
</tr>
<tr>
<td valign="top">
<strong>Cara Pembayaran</strong>
</td>
<td valign="top">
<select name="field-695a60ffa188434" id="field-695a60ffa188434">
<option value="CIMB BANK">CIMB BANK</option>
<option value="RHB ONLINE">RHB ONLINE</option>
<option value="CASH DEPOSIT">CASH DEPOSIT</option>
<option value="KAUNTER BANK">KAUNTER BANK</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" align="center">
<input type="submit" value=" Submit Form " />
</td>
</tr>
</table>
</form>
<br><center><font face="Arial, Helvetica" size="1"><b>
<a href="http://www.freedback.com">Click here</a> to put a form like this on your site.
</b></font></center>
<!-- End Freedback Form -->
Anonymoushttp://www.blogger.com/profile/03346080459002704561noreply@blogger.com0