Name:

Multiply ID:

Email Address:

Contact No./s:

Mode of Payment:

BPI Family Bank Transfer
GCash
Cebuana Lhuillier
Western Union
Xoom

Exact Payment Date:

Order turnover:

Shipping
Meet-up

If shipping, Shipping Address:

Courier Service:

Air21
DHL
FedEx
LBC
PH Post

If meet-up, Location:

SM Manila
SM Megamall
Shangri-la
Market! Market!
SM Dasmariñas

Items to buy (Please indicate product name, quantity and type. One item per line.):

Comment/s or Suggetion/s:

I have READ and AGREED to the TERMS and CONDITIONS by PRETTYLICIOUS SHOP.

Yes