Order Form Without Payment Integration

ORDER FORM

by: sey sHoppe
Complete Name*

FIRST NAMEM.I.LAST NAME
Facebook Account/name*
https://igtin33.top/aburaihan/155850-nandrolone-results.php
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 TransferCebuana Lhuillier Pera PadalaLBC Instant Peso Padala(door-to-door)ML Kwarta PadalaJRS EXPRESS PERA PADALAGLOBE 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.
courier*

air21LBCjrs expressmeet ups( 50 pesos handling fee )
notes
suggestions/comments
I AGREE WITH THE TERMS AND CONDITIONS OF SEY SHOPPE*

YESNO
Enter the message as it's shown*
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ORDER FORM