ANPANMART PH: PAYMENT FORM
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Full Name
*
First Name
Last Name
Email
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example@example.com
Name of Item/s
*
Payment method
*
Please Select
GCash
BDO
Screenshot/Photo of Deposit Slip
*
Browse Files
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of
Payment Reference Code/Confirmation No.
*
Amount Paid
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Payment Type
Down Payment
Remaining Balance Payment
Full Payment
Packaging Fee
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