Payment Form
Please answer this form upon paying
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Twitter Username
*
@skrrrtshopph (if none, fb link)
Date
*
-
Month
-
Day
Year
Date
Payment Method
*
1st Partial Payment
2nd Partial Payment
Full Payment
Amount Paid
*
Order ID ( if you can't remember please put your order/s
*
Proo of Payment (screenshot of your payment)
*
Browse Files
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of
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