order form

Nov 14, 2005 00:43














Please send in your orders in this format to
weinthezone@gmail.com
All payments to POSB Savings 228-09735-7.
Click for more info on payments!

Name:
Item(s):
Total amount: $xx + $xx + (No of Items x $1.50)
(Please show breakdown! i.e. 12+15+20 +3x1.50= ___)
Contact number:
Email:

**Paid**
Payment mode: ATM/ iBanking/ Paypal
Date and time of payment:
Amount transferred:
Transaction Reference:
iB Nick (Only for iBanking users):
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