Wufoo

chOcO order!

♠ Only sign the Order Form if your order is already final...
♣ For Door-to-Door delivery, payments should be made as soon as the order form is submitted...
♥ Once an order is placed, the item is already considered sold...
♦ For priority of orders, please text me at 09173615750...

Name * First Last
Email *
Multiply ID *
Contact No. *
Items Ordered *
How do you want to get your order? * Door-to-Door Delivery Meet-ups
Door-to-Door Deliveries are through 2GO...
Meet-ups are for Cebu City clients...
Mode of Payment * Cash on Delivery G-Cash Banco de Oro
preferred mode of payment is through G-Cash... ^_^
G-Cash no. 09173615750

COD for meet-ups...
Date of Payment or Meet-up * / MM / DD YYYY
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

this is for the Door-to-Door Deliveries...
Do Not Fill This Out