Leeteuk Birthday Project 2011 Goodies

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 byEMF Web Form
Report Abuse