Wufoo

chOcO order!

♠ Only sign the Order Form if your final with your order...
♣ 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 faster transaction, 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 JRS Express...
Meet-ups are for Cebu City clients only...
Mode of Payment *
Cash on Delivery GCash Bank Deposit

preferred mode of payment is through G-Cash... ^_^
G-Cash no.: 09173615750
Name: Aprille Chariline P. Rosalejos
Address: 450 C. Padilla St., Cebu City

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