EmailMe Form - ShoppersINSANE's Order Form

Name of yourself *

Please leave your name / nickname behind for us to address you.

Contact

Email Address *

Handphone / Cell phone Number *

Note: all informations given to us will be kept private and confidential.

Home phone number

Place your order

Place Your Order

>>>>>>> Format <<<<<<<
(ITEM #1)
Name of product / Product code:
Color (if applicable):
Size (if applicable):
Quantity (if it is 1 set of couple tee, just state 1 pair):

Continue on if there are more than 1 product you you wish to purchase. *

Please list your order(s) here.

Payment and Collection methods

Mode of payment and collection that you wish to opt for *

Payment through BANK TRANSFER & collection through POSTMAIL (LOCAL) - NORMAL MAILING

Payment through BANK TRANSFER & collection through POSTMAIL (LOCAL) - REGISTERED MAILING

Other

International shipping is available, however, customers will have to bear all the shipping cost.
If you are chooseing International Shipping, tick "Other" and fill in your country and/or city, state, etc. The cost of shipping will be included in the invoice.

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Additional information

Discount Code (if any)

Additional Notes

If you need the item(s) urgently, you may state the time and date you need it by at this section.

Would like to subscribe to newsletter to get the latest details of our shop? *

I would like to subscribe to newsletter. ^^

I do not want to subscribe to newsletter to get the latest updates.

We sincerely hope you can subscribe to receive the latest details of our shop, including promotions and new apparels on sale! :D