Name:
Cellphone #:
Order Code:
Number of Pieces:
Mode of Delivery:	Meet-Up For Shipping (via Xend)
(For Meet-Ups Only)	Glorietta (Mon-Sun) Mcdo Vito Cruz Taft (Mon, Tues, Thur, Fri) Mcdo Katipunan (Tues&Fri) Gateway (must order 3 or more pieces)
Address (for shipping only):
Additional remarks:

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