Order Form

FB Name*

First NameLast Name
FB URL ex. www.facebook.com/ballerbands1988*
COMPLETE Name*
COMPLETE Shipping Address (house number, street address, brgy and city)*
CP Number*
Your Order/s? (quantity, text, color)*
Quanity , Text and Color
Preferred Courier*

JRS - 100.00LBC - 160.00
Mode of Payment*
Date of Payment*

MonthDayYear
FOR GENSAN BUYERS :D
MEET UP DATE:
MEET UP / PICK UP PLACE:
PICK UP TIME:
Should be Empty: