If you have a problem with the online form, you need to email all the details to email@example.com,
Name : Farid Zaki
MYKAD NO : 790402-07-6471
Address : 01-05-03 Worldwide@7, Jalan Lazuardi 7/29,40000 Shah Alam,
Designation : Managing Director
Organization : Colour Concept Resources
Tel : +6013.205.2413
Fax : +603.5518.5757
E-mail : firstname.lastname@example.org by we have some kind of e-wallet via friendConnect.
Mobile phone : +6013.205.2413
Propose Application Name : E-commerce for student via FriendConnect.
Description Propose FB App : I would like to use this apps by for college student
Please return this information by e-mail to email@example.com before 29 January 2010