Payment Receipt
Date payment Made
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Payment for Order#
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Customer Name
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First Name
Last Name
Total Amount Paid:
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Paid Via:
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Bpi
Bdo
Palawan
MLhuiller
ML Kwarta Padala
Globe gcash
Lbc Pera padala
Western Union
Cebuana
Enter Bank or Remittance Payment Reference Number: (Check your receipt)
Sender Name if Remittance:
Quantity items in this order?
Please attach your payment proof for confirmation:
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