Online Order Form
How did you know about our products? Please specify your links or referrals.
Complete Name:
Email Address (Primary):
Facebook Account / Instagram Account:
Contact Numbers (mobile, landline)
Complete Shipping Address (shipping fee applies):
Desired Items (specify quantity):
Payment Date and Time:
Mode of Payment:
Western Union Money Transfer
Bank Transfer (for Bulk Orders only)
NOTES / SPECIAL INSTRUCTIONS (optional):
ALL ORDERS ARE CONSIDERED FINAL ONCE ORDER FORM IS SUBMITTED
I AGREE AND IS/ARE SOLELY RESPONSIBLE WITH MY ONLINE TRANSACTIONS
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