Order Form

Name *
Contact Number *
Email
Total Amount Of Item *
Item/s (do put "," to seperate items and state if u are buy more than 1 quantity for 1 product as i will assume tat the item/s are 1 each) *
By(for both payment and handling of goods): (mailing/ meetups/ bank transfer) *
Address/ Place:
(will give u address to send me the money if u are paying by mailing)
*
Total amount ($): *
Enquiry/ Feedback/ Message
do fill in the form and i will confirm everything with u ASAP! ^^
thanks
Image Verification
captcha
Please enter the text from the image:
[Refresh Image] [What's This?]
Powered byEMF Free Form Builder
Report Abuse