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Step 4: Order Form

After sending your bank draft to us, fill in the ORDER FORM below to give us the particulars of your purchase, payment, and the address to which we will deliver the goods.  Click the Submit Button when you're through. 

Name:   Last First Middle

Delivery  Address  

Bldg Address Street & No.
State/District  Town/City
Country Zip Code
Residence Tel. Office Tel.

Payment Particulars:

Bank Draft No. Total 
US$ sent
Bank Branch
Date Sent Time Sent

Purchase Details:
Please place here the items you ordered and the quantity for each item, including the corresponding code numbers.

Important Note:  If you get an error message after clicking on Submit, click on the Reset Forms button below before you try again.

Should you still get an error message even after clicking on this button, kindly proceed to Direct Email Ordering by clicking on the "No Forms Ordering" button below:

Note for Payment: It would be much more convenient for both parties if you would course your payments through any one of our many correspondent banks, which include, among many others, Citibank, Bank of America, Wells Fargo.  Please remit your payments directly by bank draft to:

Bank of the Philippine Islands 
Kalayaan Avenue Branch, Quezon City, Philippines                           
Savings Account No. 1994-0082-49
Swift Address:  BOPIPHMM

    

 
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