Order form

order form has been reposted..
scroll down for the order form.. pardon its imperfection.....^^,

Name:
Mobile Number:
Email Address:
Breathe Hope Bracelets
Orders: Quantity,Type of Bracelet,Colorcode
Mode of Payment:	International Trust Fund: Bank of the Philippine Islands (BPI) [JON ANGELO M VIADO #2386-1101-65]
	Western Union
For Cash on Delivery:	Choose one.. PICK UP at Jon Angelo's Place MEET UP at Trinoma MONDAY 6pm onwards MEET UP at Trinoma THURSDAY 6pm onwards
If OTHERS, please indicate:
Date of Payment:
Shipping Address:
Comments / Special Instructions:
Kindly double check all the information before submitting the form. Please send us notice on the bank reference number, branch and your name once you've deposited the payment. Please give us a day to confirm the payment by sending you a message. (632) 358 3305 ; +63917 9887221 Thank you very much and God Bless!! :)

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