ORDER FORM. ☺
Client's Information Section
Full Name
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First Name
Middle Name
Last Name
Email Address
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FACEBOOK LINK/ URL (your profile URL in facebook)
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Solo Picture (to assure that you are not a bogus buyer)
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Contact Number
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Shipping Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
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Poland
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Republic of the Congo
Romania
Russia
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Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Saint Vincent and the Grenadines
Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
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Slovenia
Solomon Islands
Somalia
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South Africa
South Ossetia
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eSwatini
Sweden
Switzerland
Syria
Taiwan
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Tanzania
Thailand
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Trinidad and Tobago
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Tunisia
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Order
Design
*
Please Select
RAWR - DINOSAUR (GLOW IN THE DARK)
TRULY MADLY DEEPLY INLOVE W/ EACH OTHER (GLOW IN THE DARK)
BELIEVE YOURSELF
KISS THE BOYS AND MAKE THEM DIE
Color
*
Please Select
Pink (RAWR)
Blue (RAWR)
Dark Pink (KISS THE BOYS, BE YOU)
White (KISS THE BOYS, BE YOU, TRULY MADLY)
Quantity(no. of item per design/color)
*
Date of Payement
*
Please Select
March 1, 2012
March 2, 2012
March 3, 2012
March 4, 2012
March 5, 2012
March 6, 2012
March 7, 2012
March 8, 2012
March 9, 2012
March 10, 2012
March 11, 2012
March 12, 2012
March 13, 2012
March 14, 2012
March 15, 2012
March 16, 2012
March 17, 2012
March 18, 2012
March 19, 2012
March 20, 2012
March 21, 2012
March 22, 2012
March 23, 2012
March 24, 2012
March 25, 2012
March 26, 2012
March 27, 2012
March 28, 2012
March 29, 2012
March 30, 2012
March 31, 2012
Mode of Payment
*
Please Select
Western Union
LBC Pera Padala
ML Kwarta Padala
Meet-up (Cagayan de Oro only)
Courier
*
Please Select
JRS Express (1-3 working days) ADD PHP98
LBC (if your place is not covered by JRS) ADD PHP165
Meet-up (Cagayan de Oro only) ADD PHP20
Location
*
Please Select
Luzon
Visayas
Mindanao
Shipping fee will be shouldered by the buyer.
shipment of items is only during weekdays.
TERMS & CONDITIONS
*
I totally understand and will fulfill my responsibility as a buyer. Once I failed to accomplish my order/s, I have nothing against my picture being posted on the BOGUS ALBUM.
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