** ORDER FORM **

Please place your order through the form below and we will get back to you within 24 hrs. Please re-submit if we did not get back to you by then...

First and Last Name

Email

Contact Number

Delivery Address

Mode of PaymentATM Bank Transfer / I BankingConcealed cash

Mode of CollectionNormal Postage : $1.50Registered Postage : $4.00

ItemsPlease enter in this format :

Item name:

Item code:

Colour:

Size:

Cost:

Quantity:

(Separate paragraph for additional items)

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