ORDER FORM =)

Reminders:

1. Completely Fill up & double check your ORDER FORM before submitting it.
2. Please wait for the "Thank you for your submission page" before closing the windows.

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Full Name:
Contact Numbers:
Email Address:
Complete Delivery/Shipping Address (w/ Zipcode):
Place your ORDERS here (kindly indicate how many bottles, packs, boxes, pieces, etc.):
Through how will you send your PAYMENT? (you will receive the payment details via SMS or email):	Cash on Meet-Up (meet-up points are provided below) Banco De Oro (BDO) deposit Bank of the Philippine Islands (BPI) deposit METROBANK deposit UNIONBANK deposit * PAYPAL Payment G-CASH SMART MONEY Padala CEBUANA LHUILLIER Pera Padala M. LHUILLIER Kwarta Padala LBC Instant Peso Padala WESTERN UNION Money Transfer PALAWAN EXPRESS Pera Padala MONEY GRAM
Meet-Up Options (w/ corresponding handling fee):	Not Applicable (My orders are for shipping/delivery) SM City Sta. Mesa (Centerpoint) - Php 20 SM City Manila - Php 100 SM City San Lazaro – Php 100 Robinsons Galleria - Php 80 Robinsons Magnolia - Php 80 Gateway Mall - Php 80 Greenhills Shopping Center – Php 80 Savemore Nagtahan – Php 60 Bustillos (Jollibee) – Php 60 Mendiola (Jollibee) - Php 60 LRT-2 (V. Mapa Station) - Php 20 LRT-2 (Cubao, Santolan, Recto) - Php 80 LRT-2 (Legarda, Pureza, Gilmore) – Php 60 LRT-1 (Doroteo Jose) – Php 80 LRT-1 (Vito Cruz, United Nations, Baclaran, Monumento) – Php 150 MRT – Ayala Station (min. of 4 items purchased) – Php 150 Other Places (please contact us first before placing your orders)
Date of Payment:
Notes and Other Concerns:
Do you agree with our Terms and Conditions?	Yes, I have read the TERMS & CONDITIONS and PAYMENT & SHIPPING information of the shop here -> https://www.facebook.com/new.lovemoonshop/notes and I promise to comply with it.

Please patiently wait and do not refresh until your form is submitted. Thank you! =)