ORDER FORM

Name:
Contact Number:
Email Address:
I would like to Purchase (please enumerate):
Mode of Payment:	Western Union G Cash
Mode of Payment:	G Cash Western Union
Shipping Address:
Preferred Shipping Provider:	I understand that the preferred method is through Air21 and as an additional payment of php 80 w/in MM and 110 outside MM for shipping fee.
I agree to purchase the Item/s that I will reserve and I am aware of Terms and Conditions of the owner.	I Agree