Order Form
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Facebook Name for us to contact
*
Please be sure to input your Facebook Name.
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Date for Meet UP
*
/
Month
/
Day
Year
Date
Payment Options
*
Payment Upon Meet Up
Via Palawan
via LBC
Via ML Kwarta Padala
via PayPal
Meet up Points (PLEASE CHOOSE 'FOR DELIVERY' if needed)
*
SM CONSOLACION 1-2PM (WEDNESDAYS)
JMALL 3-4PM (WEDNESDAYS)
ROBINSONS FUENTE 2-3PM (SATURDAYS)
FOR DELIVERY
Other
Address for Shipping
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload Screenshot here.
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