Leeteuk Birthday Project 2011 Goodies
for Indonesian ELF
Name
*
Prefix
First
*
Last
*
Suffix
Twitter Name
*
Email
*
please fill in with your most used email
Confirm
*
Mobile Phone Number
*
Badge
*
Blue badge
White badge
Both
Items Order, Preferable Payment Method and Preferable Shipping Method
*
FORMAT: numer of item,quantity,payment method,shipping method
*available payment method: bank transfer/KIMCHI ticket giving/KIMCHI
**available shipping option: shipped to home/at Kimchi ticket giving/KIMCHI
***5 items free shipping fee
Address
*only when you choose the item to be sent to your home
Would you Like to Make Donation for Leeteuk Birthday Project 2011?
Yes
No
Amount of Donation
*only if you click on "yes" on previous question
Powered by
EMF
Web Form
Report Abuse