Order Book Form

Book Order Form

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

First Name*
First Name*

E-mail Address*
E-mail Address*

Web Site URL

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Cellphone Number*
Cellphone Number*

Please state which books you wish to order?

	Penang Passion (RM80)
	Nostalgic Penang Journale (RM60)
	Baba and Nyonya Poetry (RM37)

Please specify the number of copies required.*
Please specify the number of copies required.*

Do you have other questions or comments?

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RM80.00 per copy.

RM37.00 per copy
(with a CD).

RM60.00 per copy.

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