ORDER FORM FOR CONTACT LENS

Name:
facebook ID:
Shipping address
E-mail address:
Mobile mumber:
total number of pairs
Full description of the product you want to puchase. pleese include the color and style.
Item code
Mode of payment;	BDO ML kwarta padala meet-ups
Meet-up locations:	gateway mall, zamboanga city Zambo. chong hua high school. nunes st. zamboanga city southway square, zamboanga city
exact date of payment
you have read,understood, and agreed to the terms and conditions	yes!

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