EmailMe Form - Yssa's Clay Charms Order Form

Date *

MM / DD / YYYY

First Name *

Last Name *

COMPLETE Shipping Address:
Street or House Number *

Ex. 88 Lucky Street

Barangay Name or Number *

Ex. Barangay Abundance

City and Province *

Ex. Calamba City Laguna

Mobile Number *

Ex Format: 09178881111

Facebook Account *

Email Address *

Mode of Payment *

BPI Deposit (no service fee)

Globe Gcash (customer will shoulder service fee)

LBC (customer will shoulder service fee)

Cebuana Lhuillier (customer will shoulder service fee)

MLhuillier (customer will shoulder service fee)

BDO Cash Card (Php2 fee applies if purchase is worth Php500 & below)

Cash (upon meet-up)

Mode of delivery *

to be shipped via LBC (open on Sundays)

to be shipped via JRS Express

Pick-up at courier branch (pls indicate courier branch in shipping address)

Meet-up (pls specify preferred location)

Insure Delivery? *

Yes please. (1% of decalred value will be added to bill)

No thanks.

When you insure your shipment, in case of loss of parcel, the declared value and shipping fee will be refunded to the customer.

Terms and Conditions *

I agree with the terms & conditions of this online store.

Terms & Conditions: https://www.facebook.com/note.php?note_id=347969998575609

Terms and Conditions for Ordering Silicone Molds *

I agree with the terms & conditions for purchasing silicone molds from this online store.

(Please check & disregard if you are not ordering any mold.)

SILICONE MOLDS - Information / Terms & Conditions: https://www.facebook.com/notes/yssas-clay-charms/silicone-molds-information-terms-conditions/409732655732676

List of Order
(Minimum order of worth Php300) *

Indicate item description & quantity