Complete Name : |
|
| Email Address : | |
| Contact Number : | |
Complete Shipping Address :
(Please include Ziptal Code). | |
Order/s :
(Please Indicate the codes,size, and number of items). | |
Date of Payment :
(MAXIMUM of 3 days after order
form is submitted and confirmed). |
|
Mode of Payment : |
Western Union
|
| Total Amount to Pay : |
|
Mode of Shipping : |
AIR21
JRS EXPRESS
MEET UPS (Handling Fee of P50 is required) |
| Preferred Meet Up Location : |
|
I have read and understood the terms
and conditions : |
Yes
No
|
Comments : |
|
|
