Order Form

Name:
Email Address:
Facebook URL
Cellphone Number
ITEM CODE - Quantity
Payment Method G-Cash (add 15 pesos)
LBC Pera Padala (choose Branch Pick-Up)
Meet-up
Complete Shipping Address (for shipping only)
Shipping Fee (Air 21)
Meet-up Location DLS-CSB SDA Campus
McDonald's Vito Cruz (below UPad)
Starbucks Taft (Torre Lorenzo beside UMall)
SM Sta. Rosa (Dairy Queen)
I state that all of the information provided here is correct and that I agree to the Terms and Conditions of this store.

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