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♥
Love for Lacoste
♥
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Buy it!
ORDER FORM
Feb 22, '08 3:28 AM
for everyone
PLEASE FILL UP THE FORM!
NON-MULTIPLY USERS CAN ALSO FILL UP HERE!!
Full Name:
Multiply ID:
Email Address:
Contact Number/s:
How would you like to receive your purchase?
Meet-up in Trinoma
By Shipment
For shipment, please give your EXACT home/office address:
Mode of payment:
BPI
METROBANK
GCASH
What are you going to buy?
lacoste shirt
slinky wallet
lacoste bag
lacoste wallet
make-up
gap bag
old navy socks
US PRODUCTS
INDICATE WELL YOUR ORDERS (type, color, size, etc.):
For comments or suggestions:
I agree to the TERMS OF PURCHASE.
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