Vogue Case Form

NO CANCELLATION OF ORDERS . WHEN YOU SUBMIT THE FORM, IT IS CONSIDERED SOLD .

Full Name*

First NameLast Name

Instagram Account*

Network / Carrier*

Phone Number*

Order/s*

Case Design

Request

Option for Receiving*

MeetupShipping

Meetup Locations*

USJ-R Basak Campus [Thursday 1PM - 2PM]Food Court @ E-Mall [Thursday 5:30PM - 7PM]USJ-R Main Campus [Friday 4PM - 5PM]Gaisano Danao [Saturday 1PM - 6PM]Food Court @ SM Lacion [Saturday 1PM - 7PM]Bo's Coffee at Gaisano Tabunoc [Saturday 1PM - 3PM]

Shipping Fee*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mode of Payment*

PalawanDirect Payment

FOR MONEY TRANSFER INFO [PALAWAN]:

Name: Trixie Burla

Contact Number: 0943 451 9343

Location: Consolacion, Cebu City

SUBMIT TRANSACTION CODE VIA VIBER [Photo/Text]/SMS

Date of When You'll Pay*