ORDER FORM
by: wind kshoppe
Complete Name
*
FIRST NAME
M.I.
LAST NAME
Facebook Account/name
*
Complete Shipping Address
*
PLEASE INDICATE YOUR COMPLETE SHIPPING ADDRESS AND DOUBLE CHECK IT
Order/s
*
NAME, QUANTITY AND PRICE OF THE PRODUCT
e-mail Address
*
telephone number
*
cellphone number
*
Mode of Payment
*
Western Union Money Transfer
Cebuana Lhuillier Pera Padala
LBC Instant Peso Padala(door-to-door)
ML Kwarta Padala
JRS EXPRESS PERA PADALA
GLOBE GCASH ( PREFERRED )
BPI SAVINGS
Exact Date of Payment
*
PLEASE READ THE TERMS AND CONDITIONS (VERY IMPORTANT) Again! You need to be 101 % sure in purchasing the item/s stated above. Pay on the deadline. Or we will put your photo in our BOGUS ALBUM. THANK YOU.
I AGREE WITH THE TERMS AND CONDITIONS OF SEY SHOPPE
*
YES
NO
Enter the message as it's shown
*
Submit Form
Should be Empty: