ORDER FORM
by: Beli-Beli Baju
Complete Name
*
FIRST NAME
M.I.
LAST NAME
Facebook Account/name
*
Complete Shipping Address
*
PLEASE INDICATE YOUR COMPLETE SHIPPING ADDRESS AND DOUBLE CHECK IT
Order/s
*
NAME, QUANTITY AND PRICE OF THE PRODUCT
e-mail Address
*
telephone number
*
cellphone number
*
Mode of Payment
*
Klik Bca
Internet Banking
COD
Exact Date of Payment
*
PLEASE READ THE TERMS AND CONDITIONS (VERY IMPORTANT) Again! You need to be 101 % sure in purchasing the item/s stated above. Pay on the deadline. THANK YOU.
courier
*
JNE
TIKI
Pos
COD
notes
suggestions/comments
I AGREE WITH THE TERMS AND CONDITIONS OF SEY SHOPPE
*
YES
NO
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